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MONROE ENERGY, LLC MEDICAL PLAN 401k Plan overview

Plan NameMONROE ENERGY, LLC MEDICAL PLAN
Plan identification number 501

MONROE ENERGY, LLC MEDICAL PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:MONROE ENERGY, LLC
Employer identification number (EIN):455201144
NAIC Classification:324110
NAIC Description:Petroleum Refineries

Additional information about MONROE ENERGY, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2014-04-22
Company Identification Number: 0801976296
Legal Registered Office Address: PO BOX 45852

ATLANTA
United States of America (USA)
30320

More information about MONROE ENERGY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONROE ENERGY, LLC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01MATTHEW NOLAN2023-07-20 JOHN E. JOHNS2023-07-07
5012021-01-01MATTHEW O'MAHONEY2022-09-14 JOHN E. JOHNS2022-08-24
5012020-01-01MATTHEW O'MAHONEY2021-08-16 JOHN E. JOHNS2021-08-03
5012019-01-01MATTHEW O'MAHONEY2020-09-16 JOHN E. JOHNS2020-09-09
5012018-01-01PATRICK CALLAN2019-07-19 JOHN E JOHNS2019-07-19
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01

Plan Statistics for MONROE ENERGY, LLC MEDICAL PLAN

401k plan membership statisitcs for MONROE ENERGY, LLC MEDICAL PLAN

Measure Date Value
2022: MONROE ENERGY, LLC MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,185
Total number of active participants reported on line 7a of the Form 55002022-01-011,243
Total of all active and inactive participants2022-01-011,243
2021: MONROE ENERGY, LLC MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,211
Total number of active participants reported on line 7a of the Form 55002021-01-011,185
Total of all active and inactive participants2021-01-011,185
2020: MONROE ENERGY, LLC MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,206
Total number of active participants reported on line 7a of the Form 55002020-01-011,211
Total of all active and inactive participants2020-01-011,211
2019: MONROE ENERGY, LLC MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,161
Total number of active participants reported on line 7a of the Form 55002019-01-011,206
Total of all active and inactive participants2019-01-011,206
2018: MONROE ENERGY, LLC MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,082
Total number of active participants reported on line 7a of the Form 55002018-01-011,161
Total of all active and inactive participants2018-01-011,161
2017: MONROE ENERGY, LLC MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,095
Total number of active participants reported on line 7a of the Form 55002017-01-011,082
Total of all active and inactive participants2017-01-011,082
2016: MONROE ENERGY, LLC MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,025
Total number of active participants reported on line 7a of the Form 55002016-01-011,095
Total of all active and inactive participants2016-01-011,095
2015: MONROE ENERGY, LLC MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,035
Total number of active participants reported on line 7a of the Form 55002015-01-011,025
Total of all active and inactive participants2015-01-011,025
2014: MONROE ENERGY, LLC MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01946
Total number of active participants reported on line 7a of the Form 55002014-01-011,035
Total of all active and inactive participants2014-01-011,035
2013: MONROE ENERGY, LLC MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01310
Total number of active participants reported on line 7a of the Form 55002013-01-01946
Total of all active and inactive participants2013-01-01946

Form 5500 Responses for MONROE ENERGY, LLC MEDICAL PLAN

2022: MONROE ENERGY, LLC MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MONROE ENERGY, LLC MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MONROE ENERGY, LLC MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MONROE ENERGY, LLC MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: MONROE ENERGY, LLC MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: MONROE ENERGY, LLC MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MONROE ENERGY, LLC MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MONROE ENERGY, LLC MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MONROE ENERGY, LLC MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MONROE ENERGY, LLC MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 4
Insurance contract or identification number0001727987
Number of Individuals Covered1161
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 3
Insurance contract or identification number0001727987
Number of Individuals Covered21
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 2
Insurance contract or identification number0001727987
Number of Individuals Covered342
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number0001727987
Policy instance 1
Insurance contract or identification number0001727987
Number of Individuals Covered901
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number0001727987
Policy instance 1
Insurance contract or identification number0001727987
Number of Individuals Covered914
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 2
Insurance contract or identification number0001727987
Number of Individuals Covered271
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 3
Insurance contract or identification number0001727987
Number of Individuals Covered23
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 4
Insurance contract or identification number0001727987
Number of Individuals Covered1133
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 4
Insurance contract or identification number0001727987
Number of Individuals Covered1159
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 3
Insurance contract or identification number0001727987
Number of Individuals Covered26
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 2
Insurance contract or identification number0001727987
Number of Individuals Covered252
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number0001727987
Policy instance 1
Insurance contract or identification number0001727987
Number of Individuals Covered959
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 4
Insurance contract or identification number0001727987
Number of Individuals Covered1160
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 3
Insurance contract or identification number0001727987
Number of Individuals Covered28
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 2
Insurance contract or identification number0001727987
Number of Individuals Covered233
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number0001727987
Policy instance 1
Insurance contract or identification number0001727987
Number of Individuals Covered973
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number0001727987
Policy instance 1
Insurance contract or identification number0001727987
Number of Individuals Covered910
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,324
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,324
Insurance broker organization code?3
Insurance broker nameFLEXIBLE BENEFIT PLANS, INC.
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 2
Insurance contract or identification number0001727987
Number of Individuals Covered172
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $855
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $855
Insurance broker organization code?3
Insurance broker nameFLEXIBLE BENEFIT PLANS, INC.
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 3
Insurance contract or identification number0001727987
Number of Individuals Covered32
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $112
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $112
Insurance broker organization code?3
Insurance broker nameFLEXIBLE BENEFIT PLANS, INC.
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number0001727987
Policy instance 4
Insurance contract or identification number0001727987
Number of Individuals Covered1036
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,919
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,919
Insurance broker organization code?3
Insurance broker nameFLEXIBLE BENEFIT PLANS, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744626
Policy instance 1
Insurance contract or identification number744626
Number of Individuals Covered1025
Insurance policy start date2015-01-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $71,631
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,275,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees71631
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameJ SMITH LANIER & CO
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744626
Policy instance 1
Insurance contract or identification number744626
Number of Individuals Covered1035
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $149
Total amount of fees paid to insurance companyUSD $192,615
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,619,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $149
Amount paid for insurance broker fees192615
Additional information about fees paid to insurance brokerBONUSES AND OTHER TYPES OF COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameJ SMITH LANIER & CO
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744626
Policy instance 1
Insurance contract or identification number744626
Number of Individuals Covered946
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $224,080
Total amount of fees paid to insurance companyUSD $4,092
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,602,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $224,080
Amount paid for insurance broker fees4092
Additional information about fees paid to insurance brokerBONUSES AND OTHER TYPES OF COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameJ SMITH LANIER & CO

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