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| Plan Name | CRIMSON MIDSTREAM, LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CRIMSON MIDSTREAM SERVICES, LLC |
| Employer identification number (EIN): | 814638212 |
| NAIC Classification: | 486000 |
| NAIC Description: | Pipeline Transportation |
Additional information about CRIMSON MIDSTREAM SERVICES, LLC
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | |
| Company Identification Number: | 201027810083 |
More information about CRIMSON MIDSTREAM SERVICES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-08-01 | MARJORIE DAVIS | 2020-11-17 | ||
| 502 | 2019-08-01 | LARRY W. ALEXANDER | 2021-09-03 | ||
| 502 | 2018-08-01 | MICHAEL E. MCGEE | 2019-10-16 | ||
| 502 | 2017-08-01 |
| 2019: CRIMSON MIDSTREAM, LLC HEALTH AND WELFARE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Submission has been amended | Yes |
| 2019-08-01 | This submission is the final filing | Yes |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: CRIMSON MIDSTREAM, LLC HEALTH AND WELFARE PLAN 2018 form 5500 responses | ||
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: CRIMSON MIDSTREAM, LLC HEALTH AND WELFARE PLAN 2017 form 5500 responses | ||
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB119266 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB119266 |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | ETB119266 |
| Policy instance | 1 |
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