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Plan Name | REFUEL OPERATING COMPANY HEALTH AND WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | REFUEL OPERATING COMPANY, LLC |
Employer identification number (EIN): | 833953394 |
NAIC Classification: | 447100 |
NAIC Description: | Gasoline Stations, Gas |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-01-01 | ||||
501 | 2021-01-01 | ||||
501 | 2020-04-24 | WILLIAM GULLY III | 2021-10-12 |
Measure | Date | Value |
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2022: REFUEL OPERATING COMPANY HEALTH AND WELFARE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 1,075 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 1,656 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 1,659 |
2021: REFUEL OPERATING COMPANY HEALTH AND WELFARE PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 459 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 1,068 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 7 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 1,075 |
2020: REFUEL OPERATING COMPANY HEALTH AND WELFARE PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-04-24 | 543 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-04-24 | 455 |
Number of retired or separated participants receiving benefits | 2020-04-24 | 4 |
Number of other retired or separated participants entitled to future benefits | 2020-04-24 | 0 |
Total of all active and inactive participants | 2020-04-24 | 459 |
Number of employers contributing to the scheme | 2020-04-24 | 0 |
2022: REFUEL OPERATING COMPANY HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Submission has been amended | No |
2022-01-01 | This submission is the final filing | No |
2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-01-01 | Plan is a collectively bargained plan | No |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2021: REFUEL OPERATING COMPANY HEALTH AND WELFARE PLAN 2021 form 5500 responses | ||
2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Submission has been amended | No |
2021-01-01 | This submission is the final filing | No |
2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-01-01 | Plan is a collectively bargained plan | No |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: REFUEL OPERATING COMPANY HEALTH AND WELFARE PLAN 2020 form 5500 responses | ||
2020-04-24 | Type of plan entity | Single employer plan |
2020-04-24 | First time form 5500 has been submitted | Yes |
2020-04-24 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2020-04-24 | Plan funding arrangement – Insurance | Yes |
2020-04-24 | Plan benefit arrangement – Insurance | Yes |
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00574522 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 70-87773 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00574522 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 70-87773 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 70-87773 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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