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SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 401k Plan overview

Plan NameSUREFIRE WIRELINE, LLC HEALTH PLAN (501)
Plan identification number 501

SUREFIRE WIRELINE, LLC HEALTH PLAN (501) Benefits

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

401k Sponsoring company profile

SUREFIRE WIRELINE, LLC has sponsored the creation of one or more 401k plans.

Company Name:SUREFIRE WIRELINE, LLC
Employer identification number (EIN):472238147
NAIC Classification:213110
NAIC Description: Support Activities for Mining

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUREFIRE WIRELINE, LLC HEALTH PLAN (501)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01JULIE RIGSBY
5012023-01-01
5012023-01-01STEVE FINNAN
5012023-01-01JULIE RIGSBY
5012022-01-01
5012022-01-01MARTIN NEESE
5012021-01-01
5012021-01-01MARTIN NEESE
5012020-01-01
5012019-01-01

Plan Statistics for SUREFIRE WIRELINE, LLC HEALTH PLAN (501)

401k plan membership statisitcs for SUREFIRE WIRELINE, LLC HEALTH PLAN (501)

Measure Date Value
2023: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2023 401k membership
Total participants, beginning-of-year2023-01-01107
Total number of active participants reported on line 7a of the Form 55002023-01-01117
Number of retired or separated participants receiving benefits2023-01-013
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01120
2022: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2022 401k membership
Total participants, beginning-of-year2022-01-0193
Total number of active participants reported on line 7a of the Form 55002022-01-01105
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01107
2021: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2021 401k membership
Total participants, beginning-of-year2021-01-01100
Total number of active participants reported on line 7a of the Form 55002021-01-01102
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01104
2020: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2020 401k membership
Total participants, beginning-of-year2020-01-0181
Total number of active participants reported on line 7a of the Form 55002020-01-0197
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01100
2019: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2019 401k membership
Total participants, beginning-of-year2019-01-0183
Total number of active participants reported on line 7a of the Form 55002019-01-0181
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 participants2019-01-0181

Financial Data on SUREFIRE WIRELINE, LLC HEALTH PLAN (501)

Measure Date Value
2022 : SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2022 401k financial data
Total plan liabilities at end of year2022-12-31$106,805
Total plan liabilities at beginning of year2022-12-31$245,148
Total income from all sources2022-12-31$1,640,037
Expenses. Total of all expenses incurred2022-12-31$1,585,408
Benefits paid (including direct rollovers)2022-12-31$1,077,580
Total plan assets at end of year2022-12-31$49,469
Total plan assets at beginning of year2022-12-31$133,183
Value of fidelity bond covering the plan2022-12-31$150,000
Total contributions received or receivable from participants2022-12-31$327,994
Expenses. Other expenses not covered elsewhere2022-12-31$455,067
Contributions received from other sources (not participants or employers)2022-12-31$31,024
Other income received2022-12-31$0
Net income (gross income less expenses)2022-12-31$54,629
Net plan assets at end of year (total assets less liabilities)2022-12-31$-57,336
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-111,965
Total contributions received or receivable from employer(s)2022-12-31$1,281,019
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$52,761
2021 : SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2021 401k financial data
Total plan liabilities at end of year2021-12-31$245,148
Total plan liabilities at beginning of year2021-12-31$90,299
Total income from all sources2021-12-31$1,197,546
Expenses. Total of all expenses incurred2021-12-31$1,219,212
Benefits paid (including direct rollovers)2021-12-31$729,879
Total plan assets at end of year2021-12-31$133,183
Total plan assets at beginning of year2021-12-31$0
Value of fidelity bond covering the plan2021-12-31$150,000
Total contributions received or receivable from participants2021-12-31$185,769
Expenses. Other expenses not covered elsewhere2021-12-31$412,913
Contributions received from other sources (not participants or employers)2021-12-31$12,592
Net income (gross income less expenses)2021-12-31$-21,666
Net plan assets at end of year (total assets less liabilities)2021-12-31$-111,965
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-90,299
Total contributions received or receivable from employer(s)2021-12-31$999,185
Value of corrective distributions2021-12-31$28,402
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$48,018
2020 : SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2020 401k financial data
Total plan liabilities at end of year2020-12-31$90,299
Total plan liabilities at beginning of year2020-12-31$42,177
Total income from all sources2020-12-31$1,293,898
Expenses. Total of all expenses incurred2020-12-31$1,458,144
Benefits paid (including direct rollovers)2020-12-31$893,152
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$116,124
Value of fidelity bond covering the plan2020-12-31$150,000
Total contributions received or receivable from participants2020-12-31$181,484
Expenses. Other expenses not covered elsewhere2020-12-31$427,963
Contributions received from other sources (not participants or employers)2020-12-31$13,850
Other income received2020-12-31$0
Net income (gross income less expenses)2020-12-31$-164,246
Net plan assets at end of year (total assets less liabilities)2020-12-31$-90,299
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$73,947
Total contributions received or receivable from employer(s)2020-12-31$1,098,564
Value of corrective distributions2020-12-31$87,669
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$49,360
2019 : SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2019 401k financial data
Total plan liabilities at end of year2019-12-31$42,177
Total plan liabilities at beginning of year2019-12-31$122
Total income from all sources2019-12-31$933,207
Expenses. Total of all expenses incurred2019-12-31$970,844
Benefits paid (including direct rollovers)2019-12-31$590,287
Total plan assets at end of year2019-12-31$116,124
Total plan assets at beginning of year2019-12-31$111,706
Value of fidelity bond covering the plan2019-12-31$150,000
Total contributions received or receivable from participants2019-12-31$120,950
Expenses. Other expenses not covered elsewhere2019-12-31$279,322
Contributions received from other sources (not participants or employers)2019-12-31$404
Net income (gross income less expenses)2019-12-31$-37,637
Net plan assets at end of year (total assets less liabilities)2019-12-31$73,947
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$111,584
Total contributions received or receivable from employer(s)2019-12-31$811,853
Value of corrective distributions2019-12-31$67,068
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$34,167
2018 : SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2018 401k financial data
Total plan liabilities at end of year2018-12-31$122
Total income from all sources2018-12-31$473,595
Expenses. Total of all expenses incurred2018-12-31$362,011
Benefits paid (including direct rollovers)2018-12-31$194,460
Total plan assets at end of year2018-12-31$111,706
Value of fidelity bond covering the plan2018-12-31$150,000
Total contributions received or receivable from participants2018-12-31$68,644
Expenses. Other expenses not covered elsewhere2018-12-31$147,518
Contributions received from other sources (not participants or employers)2018-12-31$2,829
Net income (gross income less expenses)2018-12-31$111,584
Net plan assets at end of year (total assets less liabilities)2018-12-31$111,584
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$402,122
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$20,033

Form 5500 Responses for SUREFIRE WIRELINE, LLC HEALTH PLAN (501)

2023: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SUREFIRE WIRELINE, LLC HEALTH PLAN (501) 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500363
Policy instance 1
Insurance contract or identification number30500363
Number of Individuals Covered117
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $456,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500363
Policy instance 3
Insurance contract or identification number30500363
Number of Individuals Covered125
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $389,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1075858
Policy instance 2
Insurance contract or identification number1075858
Number of Individuals Covered378
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,409
Total amount of fees paid to insurance companyUSD $3,062
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $70,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number4619
Policy instance 1
Insurance contract or identification number4619
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500363
Policy instance 3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1075858
Policy instance 2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number4619
Policy instance 1
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500363
Policy instance 3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1075858
Policy instance 2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number4619
Policy instance 1

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