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ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 401k Plan overview

Plan NameENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY
Plan identification number 503

ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

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 GROUP LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-07-01
5032016-07-01
5032015-07-01SARAH D'AGOSTINO
5032014-07-01SARAH D'AGOSTINO
5032013-07-01JAIME CARPENTER
5032012-07-01JAIME CARPENTER
5032011-07-01JAIME CARPENTER
5032010-07-01JAIME CARPENTER
5032009-07-01BRANNON KRIEG

Plan Statistics for ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY

401k plan membership statisitcs for ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY

Measure Date Value
2017: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2017 401k membership
Total participants, beginning-of-year2017-07-01168
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
2016: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2016 401k membership
Total participants, beginning-of-year2016-07-01242
Total number of active participants reported on line 7a of the Form 55002016-07-01168
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 participants2016-07-01168
2015: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year2015-07-01284
Total number of active participants reported on line 7a of the Form 55002015-07-010
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 participants2015-07-010
2014: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year2014-07-01285
Total number of active participants reported on line 7a of the Form 55002014-07-01284
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 participants2014-07-01284
2013: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year2013-07-01273
Total number of active participants reported on line 7a of the Form 55002013-07-01285
Total of all active and inactive participants2013-07-01285
2012: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year2012-07-01280
Total number of active participants reported on line 7a of the Form 55002012-07-01273
Total of all active and inactive participants2012-07-01273
2011: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year2011-07-01264
Total number of active participants reported on line 7a of the Form 55002011-07-01280
Total of all active and inactive participants2011-07-01280
2010: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year2010-07-01267
Total number of active participants reported on line 7a of the Form 55002010-07-01264
Total of all active and inactive participants2010-07-01264
2009: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year2009-07-01277
Total number of active participants reported on line 7a of the Form 55002009-07-01267
Total of all active and inactive participants2009-07-01267

Form 5500 Responses for ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY

2017: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 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 GROUP LONG TERM DISABILITY 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 GROUP LONG TERM DISABILITY 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 GROUP LONG TERM DISABILITY 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 GROUP LONG TERM DISABILITY 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 GROUP LONG TERM DISABILITY 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 GROUP LONG TERM DISABILITY 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: ENERGY CORPORATION OF AMERICA GROUP LONG TERM DISABILITY 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

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF018200
Policy instance 1
Insurance contract or identification numberF018200
Number of Individuals Covered153
Insurance policy start date2017-07-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $1,126
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 BenefitYes
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 $22,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,126
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES LLC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF018200
Policy instance 1
Insurance contract or identification numberF018200
Number of Individuals Covered242
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $13,504
Total amount of fees paid to insurance companyUSD $4,955
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $93,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $13,504
Amount paid for insurance broker fees4955
Insurance broker nameUSI INSURANCE SERVICES LLC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF018200
Policy instance 1
Insurance contract or identification numberF018200
Number of Individuals Covered284
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $13,356
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,214
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES LLC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF018200
Policy instance 1
Insurance contract or identification numberF018200
Number of Individuals Covered285
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $17,115
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $116,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,115
Insurance broker nameWELLS FARGO INSURANCE SERVICE OF WV
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF018200
Policy instance 1
Insurance contract or identification numberF018200
Number of Individuals Covered273
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $13,633
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $92,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,633
Insurance broker nameWELLS FARGO INSURANCE SERVICE OF WV
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number855038551
Policy instance 1
Insurance contract or identification number855038551
Number of Individuals Covered280
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $15,768
Total amount of fees paid to insurance companyUSD $4,402
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,365
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number855038551
Policy instance 1
Insurance contract or identification number855038551
Number of Individuals Covered267
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $14,668
Total amount of fees paid to insurance companyUSD $2,613
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,274
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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