TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN 401k Plan overview
| Plan Name | TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 506 |
TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Dental
- Vision
- Death benefits (include travel accident but not life insurance)
|
401k Sponsoring company profile
TEC WELL SERVICE, INC. has sponsored the creation of one or more 401k plans.
| Company Name: | TEC WELL SERVICE, INC. |
| Employer identification number (EIN): | 751590307 |
| NAIC Classification: | 213110 |
| NAIC Description: | Support Activities for Mining |
Additional information about TEC WELL SERVICE, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2015-11-03 |
| Company Identification Number: | 0802324567 |
| Legal Registered Office Address: |
140 E TYLER ST STE 520
LONGVIEW
75601
|
More information about TEC WELL SERVICE, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 506 | 2018-12-01 | | | | |
Plan Statistics for TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN
401k plan membership statisitcs for TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN
| Measure | Date | Value |
|---|
| 2018: TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-12-01 | 279 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-12-01 | 0 |
| Total of all active and inactive participants | 2018-12-01 | 0 |
| Number of employers contributing to the scheme | 2018-12-01 | 0 |
Form 5500 Responses for TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN
| 2018: TEC WELL SERVICE, LLC HEALTH AND WELFARE PLAN 2018 form 5500 responses |
|---|
| 2018-12-01 | Type of plan entity | Single employer plan |
| 2018-12-01 | First time form 5500 has been submitted | Yes |
| 2018-12-01 | This submission is the final filing | Yes |
| 2018-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-12-01 | Plan funding arrangement – Insurance | Yes |
| 2018-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
Insurance Providers Used on plan
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | KM05913524 |
| Policy instance | 1 |
| Insurance contract or identification number | KM05913524 | | Number of Individuals Covered | 547 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,430 | | Total amount of fees paid to insurance company | USD $548 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $18,839 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,430 | | Amount paid for insurance broker fees | 95 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1000702 |
| Policy instance | 2 |
| Insurance contract or identification number | 1000702 | | Number of Individuals Covered | 233 | | Insurance policy start date | 2018-12-01 | | Insurance policy end date | 2018-12-31 | | 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 | | Other welfare benefits provided | ORGAN TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $2,241 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
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