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ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 401k Plan overview

Plan NameROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN
Plan identification number 501

ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

ROGERS PETROLEUM, INC. has sponsored the creation of one or more 401k plans.

Company Name:ROGERS PETROLEUM, INC.
Employer identification number (EIN):621094778
NAIC Classification:424700

Additional information about ROGERS PETROLEUM, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2009-04-15
Company Identification Number: 0801110827
Legal Registered Office Address: PO BOX 1714

MORRISTOWN
United States of America (USA)
37816

More information about ROGERS PETROLEUM, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01JANET LANE
5012014-01-01JANET LANE
5012013-01-01JANET LANE
5012012-01-01JANET LANE
5012011-01-01JANET LANE
5012010-01-01JANET LANE
5012009-01-01JANET LANE

Plan Statistics for ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN

401k plan membership statisitcs for ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN

Measure Date Value
2015: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0162
Total number of active participants reported on line 7a of the Form 55002015-01-010
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 participants2015-01-010
2014: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01168
Total number of active participants reported on line 7a of the Form 55002014-01-0162
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0162
2013: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01168
Total of all active and inactive participants2013-01-010
2012: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01219
Total of all active and inactive participants2012-01-010
2011: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01139
Total of all active and inactive participants2011-01-010
2010: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01156
Total number of active participants reported on line 7a of the Form 55002010-01-01139
Total of all active and inactive participants2010-01-01139
2009: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0191
Total number of active participants reported on line 7a of the Form 55002009-01-01156
Total of all active and inactive participants2009-01-01156

Form 5500 Responses for ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN

2015: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE 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: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE 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: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE 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: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE 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: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE 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: ROGERS PETROLEUM INC GROUP HEALTH INSURANCE 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

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number417003411680
Policy instance 1
Insurance contract or identification number417003411680
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,566
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedOTHER - TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,566
Insurance broker organization code?3
Insurance broker nameCBIZ BENEFITS & INS SVCS
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number417003411680
Policy instance 1
Insurance contract or identification number417003411680
Number of Individuals Covered168
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $36,712
Total amount of fees paid to insurance companyUSD $66,699
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedOTHER - TRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $10,281
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,150
Insurance broker organization code?3
Amount paid for insurance broker fees66699
Additional information about fees paid to insurance brokerCLAIMS PROCESSING
Insurance broker nameINNOVATIVE CAPTIVE STRATEGIES
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number124625
Policy instance 1
Insurance contract or identification number124625
Number of Individuals Covered168
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $35,064
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $624,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,064
Insurance broker nameCHARLES R HURT
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number554383
Policy instance 1
Insurance contract or identification number554383
Number of Individuals Covered223
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $39,056
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $621,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,056
Insurance broker nameCHARLES R HURT
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number554383
Policy instance 1
Insurance contract or identification number554383
Number of Individuals Covered223
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $35,654
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $630,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number554383
Policy instance 1
Insurance contract or identification number554383
Number of Individuals Covered139
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $33,050
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $681,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,050
Insurance broker nameCHARLES R HURT

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