PETROLEUM SOLUTIONS, INC. 401k Plan overview
| Plan Name | PETROLEUM SOLUTIONS, INC. |
| Plan identification number | 504 |
PETROLEUM SOLUTIONS, INC. Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
|
401k Sponsoring company profile
PETROLEUM SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.
Additional information about PETROLEUM SOLUTIONS, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1991-01-18 |
| Company Identification Number: | 0117968400 |
| Legal Registered Office Address: |
PO BOX 2346
MCALLEN
United States of America (USA)
78502
|
More information about PETROLEUM SOLUTIONS, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan PETROLEUM SOLUTIONS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 504 | 2015-10-01 | | | | |
| 504 | 2014-10-01 | | | | |
| 504 | 2013-10-01 | | | | |
Plan Statistics for PETROLEUM SOLUTIONS, INC.
401k plan membership statisitcs for PETROLEUM SOLUTIONS, INC.
| Measure | Date | Value |
|---|
| 2015: PETROLEUM SOLUTIONS, INC. 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 263 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 0 |
| Total of all active and inactive participants | 2015-10-01 | 0 |
| 2014: PETROLEUM SOLUTIONS, INC. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 247 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 263 |
| Total of all active and inactive participants | 2014-10-01 | 263 |
| 2013: PETROLEUM SOLUTIONS, INC. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 222 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 247 |
| Total of all active and inactive participants | 2013-10-01 | 247 |
Form 5500 Responses for PETROLEUM SOLUTIONS, INC.
| 2015: PETROLEUM SOLUTIONS, INC. 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | This submission is the final filing | Yes |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: PETROLEUM SOLUTIONS, INC. 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: PETROLEUM SOLUTIONS, INC. 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 755755 |
| Policy instance | 1 |
| Insurance contract or identification number | 755755 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | SHEPARD & WALTON LIFE INSURANCE AGY |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 755755 |
| Policy instance | 1 |
| Insurance contract or identification number | 755755 | | Number of Individuals Covered | 517 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $3,034 | | Total amount of fees paid to insurance company | USD $79,723 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,722,975 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,034 | | Amount paid for insurance broker fees | 79723 | | Additional information about fees paid to insurance broker | SERVICE FEE AGREEMENT | | Insurance broker organization code? | 3 | | Insurance broker name | SHEPARD & WALTON LIFE INSURANCE AGY |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 755755 |
| Policy instance | 1 |
| Insurance contract or identification number | 755755 | | Number of Individuals Covered | 483 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $2,691 | | Total amount of fees paid to insurance company | USD $67,351 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,581,540 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,691 | | Amount paid for insurance broker fees | 67351 | | Additional information about fees paid to insurance broker | SERVICE FEE AGREEMENT, BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | SHEPARD & WALTON LIFE INSURANCE AGY |
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