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ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 401k Plan overview

Plan NameENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN
Plan identification number 501

ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

ENERGY CORPORATION OF AMERICA has sponsored the creation of one or more 401k plans.

Company Name:ENERGY CORPORATION OF AMERICA
Employer identification number (EIN):841235822
NAIC Classification:211110
NAIC Description: Oil and Gas Extraction, Oil

Additional information about ENERGY CORPORATION OF AMERICA

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 1997-07-28
Company Identification Number: 19971230954
Legal Registered Office Address: 2350 S. JONES STE. 860

LAS VEGAS
United States of America (USA)
89109

More information about ENERGY CORPORATION OF AMERICA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-07-01
5012016-07-01
5012015-07-01SARAH D'AGOSTINO
5012014-07-01SARAH D'AGOSTINO
5012013-07-01JAIME CARPENTER
5012012-07-01JAIME CARPENTER
5012011-07-01JAIME CARPENTER
5012009-07-01BRANNON KRIEG

Plan Statistics for ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN

401k plan membership statisitcs for ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN

Measure Date Value
2017: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01163
Total number of active participants reported on line 7a of the Form 55002017-07-010
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
2016: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01224
Total number of active participants reported on line 7a of the Form 55002016-07-01163
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01163
2015: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01253
Total number of active participants reported on line 7a of the Form 55002015-07-01224
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01224
2014: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01256
Total number of active participants reported on line 7a of the Form 55002014-07-01253
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01253
2013: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01247
Total number of active participants reported on line 7a of the Form 55002013-07-01256
Total of all active and inactive participants2013-07-01256
2012: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01248
Total number of active participants reported on line 7a of the Form 55002012-07-01247
Total of all active and inactive participants2012-07-01247
2011: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01250
Total number of active participants reported on line 7a of the Form 55002011-07-01248
Total of all active and inactive participants2011-07-01248
2009: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01241
Total number of active participants reported on line 7a of the Form 55002009-07-01245
Total of all active and inactive participants2009-07-01245

Form 5500 Responses for ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN

2017: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingYes
2017-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: ENERGY CORPORATION OF AMERICA MEDICAL & DENTAL CARE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402048 0010
Policy instance 1
Insurance contract or identification number402048 0010
Number of Individuals Covered149
Insurance policy start date2017-07-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $10,046
Total amount of fees paid to insurance companyUSD $0
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
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 $100,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,046
Insurance broker organization code?3
Insurance broker nameUSI INS SVCS LLC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402048 0010
Policy instance 1
Insurance contract or identification number402048 0010
Number of Individuals Covered224
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $36,143
Welfare Benefit Premiums Paid to CarrierUSD $361,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,143
Insurance broker organization code?3
Insurance broker nameUSI INS SVCS LLC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402048 0010
Policy instance 1
Insurance contract or identification number402048 0010
Number of Individuals Covered253
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $37,328
Welfare Benefit Premiums Paid to CarrierUSD $373,277
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,328
Insurance broker organization code?3
Insurance broker nameUSI INS SVCS LLC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402048 0010
Policy instance 1
Insurance contract or identification number402048 0010
Number of Individuals Covered247
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $31,132
Welfare Benefit Premiums Paid to CarrierUSD $311,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,898
Insurance broker organization code?3
Insurance broker nameUSI INS SVCS LLC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402048 0010
Policy instance 1
Insurance contract or identification number402048 0010
Number of Individuals Covered243
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $26,654
Welfare Benefit Premiums Paid to CarrierUSD $266,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,654
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS WV
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402048 0010
Policy instance 1
Insurance contract or identification number402048 0010
Number of Individuals Covered240
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $23,684
Welfare Benefit Premiums Paid to CarrierUSD $236,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number402048 0010
Policy instance 1
Insurance contract or identification number402048 0010
Number of Individuals Covered247
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $19,482
Welfare Benefit Premiums Paid to CarrierUSD $194,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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