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| Plan Name | MARTIN OIL COMPANY HEALTH PLAN |
| Plan identification number | 507 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MARTIN OIL COMPANY |
| Employer identification number (EIN): | 251154607 |
| NAIC Classification: | 424700 |
Additional information about MARTIN OIL COMPANY
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 1975-07-10 |
| Company Identification Number: | 19751289287 |
| Legal Registered Office Address: |
5611 Blue Sage Drive Littleton United States of America (USA) 80123 |
More information about MARTIN OIL COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 507 | 2017-02-01 | KAREN PADULA | |||
| 507 | 2016-02-01 | KAREN PADULA | |||
| 507 | 2015-02-01 | KAREN PADULA |
| Measure | Date | Value |
|---|---|---|
| 2017: MARTIN OIL COMPANY HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-02-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-02-01 | 0 |
| Total of all active and inactive participants | 2017-02-01 | 0 |
| 2016: MARTIN OIL COMPANY HEALTH PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-02-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 109 |
| Number of retired or separated participants receiving benefits | 2016-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-02-01 | 0 |
| Total of all active and inactive participants | 2016-02-01 | 109 |
| 2015: MARTIN OIL COMPANY HEALTH PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-02-01 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 107 |
| Number of retired or separated participants receiving benefits | 2015-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-02-01 | 0 |
| Total of all active and inactive participants | 2015-02-01 | 107 |
| 2017: MARTIN OIL COMPANY HEALTH PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | Submission has been amended | No |
| 2017-02-01 | This submission is the final filing | Yes |
| 2017-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-02-01 | Plan is a collectively bargained plan | No |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: MARTIN OIL COMPANY HEALTH PLAN 2016 form 5500 responses | ||
| 2016-02-01 | Type of plan entity | Single employer plan |
| 2016-02-01 | Submission has been amended | No |
| 2016-02-01 | This submission is the final filing | No |
| 2016-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-02-01 | Plan is a collectively bargained plan | No |
| 2016-02-01 | Plan funding arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: MARTIN OIL COMPANY HEALTH PLAN 2015 form 5500 responses | ||
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | First time form 5500 has been submitted | Yes |
| 2015-02-01 | Submission has been amended | No |
| 2015-02-01 | This submission is the final filing | No |
| 2015-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-02-01 | Plan is a collectively bargained plan | No |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 15851302 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 2802 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 15851902 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 2802 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 15851302 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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