401k Plan data: SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN plan

SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

SEISMIC EXCHANGE, INC. has sponsored the creation of one or more 401k plans.

Company Name: SEISMIC EXCHANGE, INC.

Employer identification number (EIN): 720765775

NAIC Classification: 213110
NAIC Description: Support Activities for Mining

Additional information about SEISMIC EXCHANGE, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1981-08-19

Company Identification Number: 0005200506

Legal Registered Office Address: 11050 CAPITAL PARK DR

HOUSTON
United States of America (USA)
77041

More information about SEISMIC EXCHANGE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01 EDWARD R GRADY, JR. 2020-07-08
501 2018-01-01 EDWARD R. GRADY, JR. 2019-09-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2019-01-01	EDWARD R GRADY, JR.	2020-07-08
501	2018-01-01	EDWARD R. GRADY, JR.	2019-09-11

Plan Statistics for SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2019: SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 92
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 4
Total of all active and inactive participants 2019-01-01 96
Number of employers contributing to the scheme 2019-01-01 0
2018: SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 104
Number of retired or separated participants receiving benefits 2018-01-01 5
Number of other retired or separated participants entitled to future benefits 2018-01-01 2
Total of all active and inactive participants 2018-01-01 111
Number of employers contributing to the scheme 2018-01-01 0

Measure	Date	Value
2019: SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	92
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	4
Total of all active and inactive participants	2019-01-01	96
Number of employers contributing to the scheme	2019-01-01	0
2018: SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	104
Number of retired or separated participants receiving benefits	2018-01-01	5
Number of other retired or separated participants entitled to future benefits	2018-01-01	2
Total of all active and inactive participants	2018-01-01	111
Number of employers contributing to the scheme	2018-01-01	0

Form 5500 Responses for SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN

2019: SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: SEISMIC EXCHANGE, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78N81ERC

Policy instance

Insurance contract or identification number	78N81ERC
Number of Individuals Covered	160
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $34,724
Total amount of fees paid to insurance company	USD $13,471
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,195,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,724
Amount paid for insurance broker fees	13471
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B9HJ

Policy instance

Insurance contract or identification number	GLUG0B9HJ
Number of Individuals Covered	92
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $12,059
Total amount of fees paid to insurance company	USD $9,071
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $80,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,059
Amount paid for insurance broker fees	7061
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

907035

Policy instance

Insurance contract or identification number	907035
Number of Individuals Covered	196
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $67,598
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,491,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $67,598
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B9HJ

Policy instance

Insurance contract or identification number	GLUG0B9HJ
Number of Individuals Covered	144
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $9,482
Total amount of fees paid to insurance company	USD $4,544
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $63,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,482
Amount paid for insurance broker fees	4544
Additional information about fees paid to insurance broker	ADMIN/OTHER COMPENSATION
Insurance broker organization code?	3

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Company Name:	SEISMIC EXCHANGE, INC.
Employer identification number (EIN):	720765775
NAIC Classification:	213110
NAIC Description:	Support Activities for Mining

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1981-08-19
Company Identification Number:	0005200506
Legal Registered Office Address:	11050 CAPITAL PARK DR HOUSTON United States of America (USA) 77041