Plan Name | MIDSTATES DENTAL PLAN 2014 |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | MIDSTATES PETROLEUM COMPANY |
Employer identification number (EIN): | 263162434 |
NAIC Classification: | 211120 |
NAIC Description: | Crude Petroleum Extraction |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
502 | 2017-09-01 | ||||
502 | 2016-09-01 | KIM HARDING | KIM HARDING | 2018-03-26 | |
502 | 2015-09-01 | KIM HARDING | KIM HARDING | 2017-04-12 | |
502 | 2014-09-01 | KIM HARDING | |||
502 | 2013-09-01 | KELLY WALKER |
Measure | Date | Value |
---|---|---|
2017: MIDSTATES DENTAL PLAN 2014 2017 401k membership | ||
Total participants, beginning-of-year | 2017-09-01 | 124 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 0 |
Number of retired or separated participants receiving benefits | 2017-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-09-01 | 0 |
Total of all active and inactive participants | 2017-09-01 | 0 |
2016: MIDSTATES DENTAL PLAN 2014 2016 401k membership | ||
Total participants, beginning-of-year | 2016-09-01 | 113 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 120 |
Number of retired or separated participants receiving benefits | 2016-09-01 | 4 |
Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
Total of all active and inactive participants | 2016-09-01 | 124 |
2015: MIDSTATES DENTAL PLAN 2014 2015 401k membership | ||
Total participants, beginning-of-year | 2015-09-01 | 174 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 112 |
Number of retired or separated participants receiving benefits | 2015-09-01 | 18 |
Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
Total of all active and inactive participants | 2015-09-01 | 130 |
2014: MIDSTATES DENTAL PLAN 2014 2014 401k membership | ||
Total participants, beginning-of-year | 2014-09-01 | 165 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 189 |
Number of retired or separated participants receiving benefits | 2014-09-01 | 0 |
Total of all active and inactive participants | 2014-09-01 | 189 |
Total participants | 2014-09-01 | 189 |
2013: MIDSTATES DENTAL PLAN 2014 2013 401k membership | ||
Total participants, beginning-of-year | 2013-09-01 | 155 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 165 |
Number of retired or separated participants receiving benefits | 2013-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-09-01 | 0 |
Total of all active and inactive participants | 2013-09-01 | 165 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-09-01 | 0 |
Total participants | 2013-09-01 | 165 |
2017: MIDSTATES DENTAL PLAN 2014 2017 form 5500 responses | ||
---|---|---|
2017-09-01 | Type of plan entity | Single employer plan |
2017-09-01 | This submission is the final filing | Yes |
2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2017-09-01 | Plan funding arrangement – Insurance | Yes |
2017-09-01 | Plan benefit arrangement – Insurance | Yes |
2016: MIDSTATES DENTAL PLAN 2014 2016 form 5500 responses | ||
2016-09-01 | Type of plan entity | Single employer plan |
2016-09-01 | Submission has been amended | No |
2016-09-01 | This submission is the final filing | No |
2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-09-01 | Plan is a collectively bargained plan | No |
2016-09-01 | Plan funding arrangement – Insurance | Yes |
2016-09-01 | Plan benefit arrangement – Insurance | Yes |
2015: MIDSTATES DENTAL PLAN 2014 2015 form 5500 responses | ||
2015-09-01 | Type of plan entity | Single employer plan |
2015-09-01 | Submission has been amended | No |
2015-09-01 | This submission is the final filing | No |
2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-09-01 | Plan is a collectively bargained plan | No |
2015-09-01 | Plan funding arrangement – Insurance | Yes |
2015-09-01 | Plan benefit arrangement – Insurance | Yes |
2014: MIDSTATES DENTAL PLAN 2014 2014 form 5500 responses | ||
2014-09-01 | Type of plan entity | Single employer plan |
2014-09-01 | Submission has been amended | No |
2014-09-01 | This submission is the final filing | No |
2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-09-01 | Plan is a collectively bargained plan | No |
2014-09-01 | Plan funding arrangement – Insurance | Yes |
2014-09-01 | Plan benefit arrangement – Insurance | Yes |
2013: MIDSTATES DENTAL PLAN 2014 2013 form 5500 responses | ||
2013-09-01 | Type of plan entity | Single employer plan |
2013-09-01 | First time form 5500 has been submitted | Yes |
2013-09-01 | Submission has been amended | No |
2013-09-01 | This submission is the final filing | No |
2013-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-09-01 | Plan is a collectively bargained plan | No |
2013-09-01 | Plan funding arrangement – Insurance | Yes |
2013-09-01 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 6388 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 1D030774 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 899326000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 899326000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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