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CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 401k Plan overview

Plan NameCITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES'
Plan identification number 518

CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

CITGO PETROLEUM CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:CITGO PETROLEUM CORPORATION
Employer identification number (EIN):731173881
NAIC Classification:324110
NAIC Description:Petroleum Refineries

Additional information about CITGO PETROLEUM CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2005114

More information about CITGO PETROLEUM CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES'

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5182022-01-01
5182021-01-01
5182020-01-01
5182019-01-01
5182018-01-01
5182017-01-01GLENN HILMAN THERESA MITCHELL2018-10-15
5182017-01-01GLENN HILMAN THERESA MITCHELL2019-02-07
5182016-01-01GLENN HILMAN THERESA MITCHELL2018-01-31
5182015-01-01MARISOL GOMEZ JOHN BUTTS2016-10-13
5182014-01-01MARISOL GOMEZ JOHN BUTTS2015-10-14
5182013-01-01MICHAEL NAJAR JOHN BUTTS2014-10-15
5182012-01-01MICHAEL NAJAR JOHN BUTTS2014-07-23
5182011-01-01MICHAEL NAJAR JOHN BUTTS2012-10-15
5182010-01-01ALBERTO RAMIREZ JOHN BUTTS2011-10-17
5182009-01-01ROBERT CASBURN

Plan Statistics for CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES'

401k plan membership statisitcs for CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES'

Measure Date Value
2022: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2022 401k membership
Total participants, beginning-of-year2022-01-011,497
Total number of active participants reported on line 7a of the Form 55002022-01-011,293
Number of retired or separated participants receiving benefits2022-01-01214
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,507
2021: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2021 401k membership
Total participants, beginning-of-year2021-01-011,481
Total number of active participants reported on line 7a of the Form 55002021-01-011,262
Number of retired or separated participants receiving benefits2021-01-01236
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,498
2020: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2020 401k membership
Total participants, beginning-of-year2020-01-011,559
Total number of active participants reported on line 7a of the Form 55002020-01-011,232
Number of retired or separated participants receiving benefits2020-01-01248
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,480
2019: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2019 401k membership
Total participants, beginning-of-year2019-01-011,576
Total number of active participants reported on line 7a of the Form 55002019-01-011,296
Number of retired or separated participants receiving benefits2019-01-01274
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,570
2018: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2018 401k membership
Total participants, beginning-of-year2018-01-011,587
Total number of active participants reported on line 7a of the Form 55002018-01-011,301
Number of retired or separated participants receiving benefits2018-01-01283
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,584
2017: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2017 401k membership
Total participants, beginning-of-year2017-01-011,557
Total number of active participants reported on line 7a of the Form 55002017-01-011,309
Number of retired or separated participants receiving benefits2017-01-01285
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,594
2016: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2016 401k membership
Total participants, beginning-of-year2016-01-011,620
Total number of active participants reported on line 7a of the Form 55002016-01-011,278
Number of retired or separated participants receiving benefits2016-01-01282
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,560
2015: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2015 401k membership
Total participants, beginning-of-year2015-01-011,672
Total number of active participants reported on line 7a of the Form 55002015-01-011,307
Number of retired or separated participants receiving benefits2015-01-01314
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,621
2014: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2014 401k membership
Total participants, beginning-of-year2014-01-011,690
Total number of active participants reported on line 7a of the Form 55002014-01-011,331
Number of retired or separated participants receiving benefits2014-01-01333
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,664
2013: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2013 401k membership
Total participants, beginning-of-year2013-01-011,774
Total number of active participants reported on line 7a of the Form 55002013-01-011,331
Number of retired or separated participants receiving benefits2013-01-01351
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,682
2012: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2012 401k membership
Total participants, beginning-of-year2012-01-012,328
Total number of active participants reported on line 7a of the Form 55002012-01-011,357
Number of retired or separated participants receiving benefits2012-01-01999
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,356
2011: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2011 401k membership
Total participants, beginning-of-year2011-01-012,446
Total number of active participants reported on line 7a of the Form 55002011-01-011,325
Number of retired or separated participants receiving benefits2011-01-011,003
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012,328
2010: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2010 401k membership
Total participants, beginning-of-year2010-01-012,444
Total number of active participants reported on line 7a of the Form 55002010-01-011,347
Number of retired or separated participants receiving benefits2010-01-011,099
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-012,446
2009: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2009 401k membership
Total participants, beginning-of-year2009-01-012,425
Total of all active and inactive participants2009-01-010

Financial Data on CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES'

Measure Date Value
2022 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,235,584
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,148,747
Total income from all sources (including contributions)2022-12-31$37,130,716
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$28,299,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$26,169,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$34,097,729
Value of total assets at end of year2022-12-31$50,120,792
Value of total assets at beginning of year2022-12-31$41,202,872
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,129,960
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$40,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$4,788,110
Participant contributions at end of year2022-12-31$181
Participant contributions at beginning of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,224,641
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$991,514
Other income not declared elsewhere2022-12-31$2,461,915
Administrative expenses (other) incurred2022-12-31$5,920
Liabilities. Value of operating payables at end of year2022-12-31$239,540
Liabilities. Value of operating payables at beginning of year2022-12-31$69,823
Total non interest bearing cash at end of year2022-12-31$191,782
Total non interest bearing cash at beginning of year2022-12-31$184,191
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$8,831,083
Value of net assets at end of year (total assets less liabilities)2022-12-31$47,885,208
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$39,054,125
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in master investment trust accounts at end of year2022-12-31$48,704,188
Value of interest in master investment trust accounts at beginning of year2022-12-31$40,027,167
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,270,940
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$29,309,619
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$24,898,733
Contract administrator fees2022-12-31$2,124,040
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,996,044
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$2,078,924
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KPMG LLP
Accountancy firm EIN2022-12-31135565207
2021 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,148,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,448,024
Total income from all sources (including contributions)2021-12-31$36,248,865
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$30,113,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$28,033,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$34,361,279
Value of total assets at end of year2021-12-31$41,202,872
Value of total assets at beginning of year2021-12-31$35,366,513
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,079,867
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$191,621
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$40,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$5,023,848
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$1,350
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$991,514
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$877,016
Other income not declared elsewhere2021-12-31$1,883,800
Administrative expenses (other) incurred2021-12-31$23,301
Liabilities. Value of operating payables at end of year2021-12-31$69,823
Liabilities. Value of operating payables at beginning of year2021-12-31$43,313
Total non interest bearing cash at end of year2021-12-31$184,191
Total non interest bearing cash at beginning of year2021-12-31$182,516
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$6,135,636
Value of net assets at end of year (total assets less liabilities)2021-12-31$39,054,125
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$32,918,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in master investment trust accounts at end of year2021-12-31$40,027,167
Value of interest in master investment trust accounts at beginning of year2021-12-31$34,305,631
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,273,138
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$29,337,431
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$26,760,224
Contract administrator fees2021-12-31$1,864,945
Liabilities. Value of benefit claims payable at end of year2021-12-31$2,078,924
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$2,404,711
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KPMG LLP
Accountancy firm EIN2021-12-31135565207
2020 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,448,024
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,651,121
Total income from all sources (including contributions)2020-12-31$34,080,638
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$28,080,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$26,136,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$32,288,758
Value of total assets at end of year2020-12-31$35,366,513
Value of total assets at beginning of year2020-12-31$29,569,707
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,943,738
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$40,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,940,308
Participant contributions at end of year2020-12-31$1,350
Participant contributions at beginning of year2020-12-31$755
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$877,016
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$839,530
Other income not declared elsewhere2020-12-31$1,731,709
Administrative expenses (other) incurred2020-12-31$6,669
Liabilities. Value of operating payables at end of year2020-12-31$43,313
Liabilities. Value of operating payables at beginning of year2020-12-31$52,658
Total non interest bearing cash at end of year2020-12-31$182,516
Total non interest bearing cash at beginning of year2020-12-31$176,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$5,999,903
Value of net assets at end of year (total assets less liabilities)2020-12-31$32,918,489
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$26,918,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in master investment trust accounts at end of year2020-12-31$34,305,631
Value of interest in master investment trust accounts at beginning of year2020-12-31$28,552,937
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,192,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$27,348,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$24,944,984
Contract administrator fees2020-12-31$1,937,069
Liabilities. Value of benefit claims payable at end of year2020-12-31$2,404,711
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,598,463
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31KPMG LLP
Accountancy firm EIN2020-12-31135565207
2019 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,651,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,493,351
Total income from all sources (including contributions)2019-12-31$34,980,325
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$29,649,393
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$27,771,352
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$33,131,951
Value of total assets at end of year2019-12-31$29,569,707
Value of total assets at beginning of year2019-12-31$24,081,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,878,041
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$40,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$5,244,998
Participant contributions at end of year2019-12-31$755
Participant contributions at beginning of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$839,530
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$726,877
Other income not declared elsewhere2019-12-31$1,421,226
Administrative expenses (other) incurred2019-12-31$6,903
Liabilities. Value of operating payables at end of year2019-12-31$52,658
Liabilities. Value of operating payables at beginning of year2019-12-31$76,224
Total non interest bearing cash at end of year2019-12-31$176,485
Total non interest bearing cash at beginning of year2019-12-31$147,716
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,330,932
Value of net assets at end of year (total assets less liabilities)2019-12-31$26,918,586
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$21,587,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in master investment trust accounts at end of year2019-12-31$28,552,937
Value of interest in master investment trust accounts at beginning of year2019-12-31$23,206,412
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$956,702
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$27,886,953
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$26,814,650
Contract administrator fees2019-12-31$1,871,138
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,598,463
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,417,127
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31KPMG LLP
Accountancy firm EIN2019-12-31135565207
2018 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,493,351
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,454,795
Total income from all sources (including contributions)2018-12-31$33,621,412
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$27,063,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$25,392,232
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$32,210,869
Value of total assets at end of year2018-12-31$24,081,005
Value of total assets at beginning of year2018-12-31$17,484,515
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,671,246
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$30,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$5,450,490
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$726,877
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$419,820
Other income not declared elsewhere2018-12-31$1,148,434
Administrative expenses (other) incurred2018-12-31$6,768
Liabilities. Value of operating payables at end of year2018-12-31$76,224
Liabilities. Value of operating payables at beginning of year2018-12-31$23,351
Total non interest bearing cash at end of year2018-12-31$147,716
Total non interest bearing cash at beginning of year2018-12-31$145,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$6,557,934
Value of net assets at end of year (total assets less liabilities)2018-12-31$21,587,654
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,029,720
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in master investment trust accounts at end of year2018-12-31$23,206,412
Value of interest in master investment trust accounts at beginning of year2018-12-31$16,918,958
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$959,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$26,760,379
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$24,432,471
Contract administrator fees2018-12-31$1,664,478
Liabilities. Value of benefit claims payable at end of year2018-12-31$2,417,127
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$2,431,444
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31KPMG LLP
Accountancy firm EIN2018-12-31135565207
2017 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,454,795
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,208,220
Total income from all sources (including contributions)2017-12-31$30,989,942
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$29,780,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$28,056,690
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$30,260,326
Value of total assets at end of year2017-12-31$17,484,515
Value of total assets at beginning of year2017-12-31$16,028,125
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,723,437
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$122,763
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$30,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$5,837,240
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$419,820
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$302,336
Other income not declared elsewhere2017-12-31$678,967
Administrative expenses (other) incurred2017-12-31$20,694
Liabilities. Value of operating payables at end of year2017-12-31$23,351
Liabilities. Value of operating payables at beginning of year2017-12-31$59,336
Total non interest bearing cash at end of year2017-12-31$145,737
Total non interest bearing cash at beginning of year2017-12-31$144,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,209,815
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,029,720
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,819,905
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in master investment trust accounts at end of year2017-12-31$16,918,958
Value of interest in master investment trust accounts at beginning of year2017-12-31$15,581,789
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$924,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$24,423,086
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$27,132,041
Contract administrator fees2017-12-31$1,579,980
Liabilities. Value of benefit claims payable at end of year2017-12-31$2,431,444
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$2,148,884
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31KPMG LLP
Accountancy firm EIN2017-12-31135565207
2016 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,208,220
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,315,330
Total income from all sources (including contributions)2016-12-31$30,492,276
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$30,074,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$28,488,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$29,825,484
Value of total assets at end of year2016-12-31$16,028,125
Value of total assets at beginning of year2016-12-31$15,717,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,586,193
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$123,283
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$30,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$6,130,691
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$302,336
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$547,358
Other income not declared elsewhere2016-12-31$665,220
Administrative expenses (other) incurred2016-12-31$107,038
Liabilities. Value of operating payables at end of year2016-12-31$59,336
Liabilities. Value of operating payables at beginning of year2016-12-31$26,396
Total non interest bearing cash at end of year2016-12-31$144,000
Total non interest bearing cash at beginning of year2016-12-31$140,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$417,447
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,819,905
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$13,402,458
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in master investment trust accounts at end of year2016-12-31$15,581,789
Value of interest in master investment trust accounts at beginning of year2016-12-31$15,029,825
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$801,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$23,694,793
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$27,687,182
Contract administrator fees2016-12-31$1,355,872
Liabilities. Value of benefit claims payable at end of year2016-12-31$2,148,884
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$2,288,934
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31KPMG LLP
Accountancy firm EIN2016-12-31135565207
2015 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,315,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,172,372
Total income from all sources (including contributions)2015-12-31$29,985,716
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$26,821,537
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$25,241,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$29,020,616
Value of total assets at end of year2015-12-31$15,717,788
Value of total assets at beginning of year2015-12-31$12,410,651
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,579,589
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$155,685
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$30,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$6,122,775
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$816
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$547,358
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$411,872
Other income not declared elsewhere2015-12-31$963,727
Administrative expenses (other) incurred2015-12-31$164,615
Liabilities. Value of operating payables at end of year2015-12-31$26,396
Liabilities. Value of operating payables at beginning of year2015-12-31$227,254
Total non interest bearing cash at end of year2015-12-31$140,605
Total non interest bearing cash at beginning of year2015-12-31$132,222
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,164,179
Value of net assets at end of year (total assets less liabilities)2015-12-31$13,402,458
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,238,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in master investment trust accounts at end of year2015-12-31$15,029,825
Value of interest in master investment trust accounts at beginning of year2015-12-31$11,865,741
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$793,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$22,897,841
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$24,448,666
Contract administrator fees2015-12-31$1,259,289
Liabilities. Value of benefit claims payable at end of year2015-12-31$2,288,934
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,945,118
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31KPMG LLP
Accountancy firm EIN2015-12-31135565207
2014 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,172,372
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,481,031
Total income from all sources (including contributions)2014-12-31$29,755,917
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$27,913,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$26,310,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$29,141,424
Value of total assets at end of year2014-12-31$12,410,651
Value of total assets at beginning of year2014-12-31$10,877,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,603,014
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$100,597
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$20,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$6,174,401
Participant contributions at end of year2014-12-31$816
Participant contributions at beginning of year2014-12-31$10,429
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$411,872
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$376,039
Other income not declared elsewhere2014-12-31$613,406
Administrative expenses (other) incurred2014-12-31$231,068
Liabilities. Value of operating payables at end of year2014-12-31$227,254
Liabilities. Value of operating payables at beginning of year2014-12-31$24,487
Total non interest bearing cash at end of year2014-12-31$132,222
Total non interest bearing cash at beginning of year2014-12-31$137,153
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,842,119
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,238,279
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$8,396,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in master investment trust accounts at end of year2014-12-31$11,865,741
Value of interest in master investment trust accounts at beginning of year2014-12-31$10,353,570
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$798,322
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$22,967,023
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$25,512,462
Contract administrator fees2014-12-31$1,271,349
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,945,118
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$2,456,544
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KPMG LLP
Accountancy firm EIN2014-12-31135565207
2013 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,481,031
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,682,224
Total income from all sources (including contributions)2013-12-31$28,005,094
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$24,042,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$22,525,110
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$27,567,242
Value of total assets at end of year2013-12-31$10,877,191
Value of total assets at beginning of year2013-12-31$7,116,227
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,517,827
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$155,239
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$20,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$5,939,474
Participant contributions at end of year2013-12-31$10,429
Participant contributions at beginning of year2013-12-31$1,218
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$376,039
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$573,695
Other income not declared elsewhere2013-12-31$437,112
Administrative expenses (other) incurred2013-12-31$20,735
Liabilities. Value of operating payables at end of year2013-12-31$24,487
Liabilities. Value of operating payables at beginning of year2013-12-31$36,242
Total non interest bearing cash at end of year2013-12-31$137,153
Total non interest bearing cash at beginning of year2013-12-31$133,905
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,962,157
Value of net assets at end of year (total assets less liabilities)2013-12-31$8,396,160
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,434,003
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in master investment trust accounts at end of year2013-12-31$10,353,570
Value of interest in master investment trust accounts at beginning of year2013-12-31$6,407,409
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$790,296
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$21,627,768
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$21,734,814
Contract administrator fees2013-12-31$1,341,853
Liabilities. Value of benefit claims payable at end of year2013-12-31$2,456,544
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$2,645,982
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KPMG LLP
Accountancy firm EIN2013-12-31135565207
2012 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,682,224
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,023,439
Total income from all sources (including contributions)2012-12-31$31,941,082
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$28,945,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$27,320,286
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$31,166,877
Value of total assets at end of year2012-12-31$7,116,227
Value of total assets at beginning of year2012-12-31$4,462,058
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,625,412
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$117,979
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$20,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$7,204,689
Participant contributions at end of year2012-12-31$1,218
Participant contributions at beginning of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$573,695
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$620,897
Other income not declared elsewhere2012-12-31$773,688
Administrative expenses (other) incurred2012-12-31$34,299
Liabilities. Value of operating payables at end of year2012-12-31$36,242
Liabilities. Value of operating payables at beginning of year2012-12-31$15,321
Total non interest bearing cash at end of year2012-12-31$133,905
Total non interest bearing cash at beginning of year2012-12-31$131,838
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,995,384
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,434,003
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,438,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in master investment trust accounts at end of year2012-12-31$6,407,409
Value of interest in master investment trust accounts at beginning of year2012-12-31$3,709,323
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$776,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$23,962,188
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$26,544,099
Contract administrator fees2012-12-31$1,473,134
Liabilities. Value of benefit claims payable at end of year2012-12-31$2,645,982
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$3,008,118
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KPMG LLP
Accountancy firm EIN2012-12-31135565207
2011 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,023,439
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,367,845
Total income from all sources (including contributions)2011-12-31$27,965,517
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$28,129,045
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$26,942,125
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$27,163,447
Value of total assets at end of year2011-12-31$4,462,058
Value of total assets at beginning of year2011-12-31$3,969,992
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,186,920
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$85,451
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$6,511,290
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$958
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$1,165,929
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$620,897
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$556,323
Other income not declared elsewhere2011-12-31$801,715
Administrative expenses (other) incurred2011-12-31$22,863
Liabilities. Value of operating payables at end of year2011-12-31$15,321
Liabilities. Value of operating payables at beginning of year2011-12-31$75,681
Total non interest bearing cash at end of year2011-12-31$131,838
Total non interest bearing cash at beginning of year2011-12-31$159,769
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-163,528
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,438,619
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,602,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in master investment trust accounts at end of year2011-12-31$3,709,323
Value of interest in master investment trust accounts at beginning of year2011-12-31$3,252,942
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$697,245
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$19,486,228
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$26,244,880
Contract administrator fees2011-12-31$1,078,606
Liabilities. Value of benefit claims payable at end of year2011-12-31$3,008,118
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$2,292,164
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KPMG LLP
Accountancy firm EIN2011-12-31135565207
2010 : CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,367,845
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,582,722
Total income from all sources (including contributions)2010-12-31$25,220,348
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$25,569,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$24,381,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$24,450,956
Value of total assets at end of year2010-12-31$3,969,992
Value of total assets at beginning of year2010-12-31$4,534,222
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,188,092
Total interest from all sources2010-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$6,201,776
Participant contributions at end of year2010-12-31$958
Participant contributions at beginning of year2010-12-31$1,388
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$556,323
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$591,666
Other income not declared elsewhere2010-12-31$767,279
Administrative expenses (other) incurred2010-12-31$5,820
Liabilities. Value of operating payables at end of year2010-12-31$75,681
Liabilities. Value of operating payables at beginning of year2010-12-31$82,743
Total non interest bearing cash at end of year2010-12-31$159,769
Total non interest bearing cash at beginning of year2010-12-31$93,945
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-349,353
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,602,147
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,951,500
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in master investment trust accounts at end of year2010-12-31$3,252,942
Value of interest in master investment trust accounts at beginning of year2010-12-31$3,847,223
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$686,310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$18,249,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$23,695,299
Contract administrator fees2010-12-31$1,182,272
Liabilities. Value of benefit claims payable at end of year2010-12-31$2,292,164
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$2,499,979
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31KPMG LLP
Accountancy firm EIN2010-12-31135565207

Form 5500 Responses for CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES'

2022: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 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 planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CITGO PETROLEUM CORPORATION MEDICAL, DENTAL, VISION AND LIFE INSURANCE PROGRAM HOURLY EMPLOYEES' 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )
Policy contract number70561
Policy instance 3
Insurance contract or identification number70561
Number of Individuals Covered881
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 $1,976
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
Other welfare benefits providedAD&D
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 $88,189
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1976
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )
Policy contract number70560
Policy instance 2
Insurance contract or identification number70560
Number of Individuals Covered2759
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 $45,490
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 BenefitYes
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 $727,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees45490
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number229556
Policy instance 1
Insurance contract or identification number229556
Number of Individuals Covered1308
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 $402,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0229556
Policy instance 3
Insurance contract or identification number0229556
Number of Individuals Covered1260
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 $398,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0114243
Policy instance 2
Insurance contract or identification number0114243
Number of Individuals Covered2171
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
Other welfare benefits providedAD&D
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 $129,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0096386
Policy instance 1
Insurance contract or identification number0096386
Number of Individuals Covered1238
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitYes
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 $737,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0229556
Policy instance 3
Insurance contract or identification number0229556
Number of Individuals Covered1243
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 $313,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0114243
Policy instance 2
Insurance contract or identification number0114243
Number of Individuals Covered2069
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
Other welfare benefits providedAD&D
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 $128,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0096386
Policy instance 1
Insurance contract or identification number0096386
Number of Individuals Covered1211
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitYes
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 $742,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number229556
Policy instance 3
Insurance contract or identification number229556
Number of Individuals Covered1266
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 $305,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0114243
Policy instance 2
Insurance contract or identification number0114243
Number of Individuals Covered2131
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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
Other welfare benefits providedAD&D
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 $127,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0096386
Policy instance 1
Insurance contract or identification number0096386
Number of Individuals Covered1296
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitYes
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 $516,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number229556
Policy instance 3
Insurance contract or identification number229556
Number of Individuals Covered1236
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 $296,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0114243
Policy instance 2
Insurance contract or identification number0114243
Number of Individuals Covered2059
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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
Other welfare benefits providedAD&D
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 $124,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0096386
Policy instance 1
Insurance contract or identification number0096386
Number of Individuals Covered1316
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 BenefitYes
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 $531,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number229556
Policy instance 3
Insurance contract or identification number229556
Number of Individuals Covered1222
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 $272,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0114243
Policy instance 2
Insurance contract or identification number0114243
Number of Individuals Covered2008
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
Other welfare benefits providedAD&D
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 $121,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0096386
Policy instance 1
Insurance contract or identification number0096386
Number of Individuals Covered1336
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 BenefitYes
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 $523,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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