401k Plan data: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 plan

TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 401k Plan overview

Plan Name	TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301
Plan identification number	501

TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TRIANA SERVICES COMPANY, LLC/ TRIANA ENERGY HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name: TRIANA SERVICES COMPANY, LLC/ TRIANA ENERGY HOLDINGS, LLC

Employer identification number (EIN): 264486686

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-01-01
501 2015-01-01
501 2014-01-01
501 2013-01-01
501 2012-01-01 ED LINCOLN
501 2011-01-01 ED LINCOLN
501 2009-01-01 ED LINCOLN ED LINCOLN 2010-10-15

Plan Statistics for TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301

401k plan membership statisitcs for TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301

Measure Date Value
2016: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2016 401k membership
Total participants, beginning-of-year 2016-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 55
Total of all active and inactive participants 2016-01-01 55
2015: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2015 401k membership
Total participants, beginning-of-year 2015-01-01 266
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 100
Total of all active and inactive participants 2015-01-01 100
2014: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2014 401k membership
Total participants, beginning-of-year 2014-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 266
Total of all active and inactive participants 2014-01-01 266
2013: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2013 401k membership
Total participants, beginning-of-year 2013-01-01 225
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 233
Total of all active and inactive participants 2013-01-01 233
2012: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2012 401k membership
Total participants, beginning-of-year 2012-01-01 339
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 225
Total of all active and inactive participants 2012-01-01 225
2011: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2011 401k membership
Total participants, beginning-of-year 2011-01-01 329
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 339
Total of all active and inactive participants 2011-01-01 339
2009: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2009 401k membership
Total participants, beginning-of-year 2009-01-01 272
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 365
Total of all active and inactive participants 2009-01-01 365

Measure	Date	Value
2016: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2016 401k membership
Total participants, beginning-of-year	2016-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	55
Total of all active and inactive participants	2016-01-01	55
2015: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2015 401k membership
Total participants, beginning-of-year	2015-01-01	266
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	100
Total of all active and inactive participants	2015-01-01	100
2014: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2014 401k membership
Total participants, beginning-of-year	2014-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	266
Total of all active and inactive participants	2014-01-01	266
2013: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2013 401k membership
Total participants, beginning-of-year	2013-01-01	225
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	233
Total of all active and inactive participants	2013-01-01	233
2012: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2012 401k membership
Total participants, beginning-of-year	2012-01-01	339
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	225
Total of all active and inactive participants	2012-01-01	225
2011: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2011 401k membership
Total participants, beginning-of-year	2011-01-01	329
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	339
Total of all active and inactive participants	2011-01-01	339
2009: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2009 401k membership
Total participants, beginning-of-year	2009-01-01	272
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	365
Total of all active and inactive participants	2009-01-01	365

Form 5500 Responses for TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301

2016: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: TRIANA SERVICES COMPANY,LLC EMPLOYEE BENEFIT PLAN 900 VIRGINIA STREET, EAST CHARLESTON, WV 25301 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

855318G

Policy instance

Insurance contract or identification number	855318G
Number of Individuals Covered	129
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $26,563
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $197,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,783
Insurance broker organization code?	3
Insurance broker name	USI INS SERVICES LLC

ESI (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

1661 & 1558

Policy instance

Insurance contract or identification number	1661 & 1558
Number of Individuals Covered	291
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $379
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $7,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $379
Insurance broker organization code?	3
Insurance broker name

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30000578

Policy instance

Insurance contract or identification number	30000578
Number of Individuals Covered	117
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,307
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $769
Insurance broker organization code?	3
Insurance broker name	USI INS SERVICES LLC

DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )

Policy contract number

05778

Policy instance

Insurance contract or identification number	05778
Number of Individuals Covered	106
Insurance policy start date	2014-09-01
Insurance policy end date	2015-08-31
Total amount of commissions paid to insurance broker	USD $4,290
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $85,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,290
Insurance broker organization code?	3
Insurance broker name	USI INS SERVICES LLC

HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )

Policy contract number

103012

Policy instance

Insurance contract or identification number	103012
Number of Individuals Covered	100
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $48,217
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,187,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $78,829
Insurance broker organization code?	3
Insurance broker name	CHRISTOPHER ALLEN

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30000578

Policy instance

Insurance contract or identification number	30000578
Number of Individuals Covered	254
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,348
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $55,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,348
Insurance broker organization code?	3
Insurance broker name	USI INS SERVICES LLC

DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )

Policy contract number

05778

Policy instance

Insurance contract or identification number	05778
Number of Individuals Covered	265
Insurance policy start date	2013-09-01
Insurance policy end date	2014-08-31
Total amount of commissions paid to insurance broker	USD $7,414
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $148,695
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,414
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )

Policy contract number

103012

Policy instance

Insurance contract or identification number	103012
Number of Individuals Covered	266
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $159,091
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,634,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $125,830
Insurance broker organization code?	3
Insurance broker name	EMERSON REIS LLC

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

855318G

Policy instance

Insurance contract or identification number	855318G
Number of Individuals Covered	258
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $25,688
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $256,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,688
Insurance broker organization code?	3
Insurance broker name	USI INS SERVICES LLC

ESI (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

1661 & 1558

Policy instance

Insurance contract or identification number	1661 & 1558
Number of Individuals Covered	207
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $368
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $8,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $216
Insurance broker organization code?	3
Insurance broker name	USI INS SERVICES LLC

ESI (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

1661 & 1558

Policy instance

Insurance contract or identification number	1661 & 1558
Number of Individuals Covered	215
Insurance policy start date	2012-09-01
Insurance policy end date	2013-08-31
Total amount of commissions paid to insurance broker	USD $330
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $6,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $330
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30000578

Policy instance

Insurance contract or identification number	30000578
Number of Individuals Covered	238
Insurance policy start date	2012-09-01
Insurance policy end date	2013-08-31
Total amount of commissions paid to insurance broker	USD $1,814
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $47,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,814
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )

Policy contract number

103012

Policy instance

Insurance contract or identification number	103012
Number of Individuals Covered	233
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $76,782
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,384,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $76,782
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

855318G

Policy instance

Insurance contract or identification number	855318G
Number of Individuals Covered	227
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $19,173
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $200,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,173
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )

Policy contract number

05778

Policy instance

Insurance contract or identification number	05778
Number of Individuals Covered	246
Insurance policy start date	2012-09-01
Insurance policy end date	2013-08-31
Total amount of commissions paid to insurance broker	USD $6,174
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $123,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,174
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

855318G

Policy instance

Insurance contract or identification number	855318G
Number of Individuals Covered	246
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $24,444
Total amount of fees paid to insurance company	USD $3,174
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $235,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $24,444
Amount paid for insurance broker fees	3174
Additional information about fees paid to insurance broker	BONUS PAID
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

ESI (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

Policy instance

Number of Individuals Covered	215
Insurance policy start date	2012-09-01
Insurance policy end date	2013-08-31
Total amount of commissions paid to insurance broker	USD $330
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $6,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $330
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30000578

Policy instance

Insurance contract or identification number	30000578
Number of Individuals Covered	313
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
Total amount of commissions paid to insurance broker	USD $2,149
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $69,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,149
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )

Policy contract number

05778

Policy instance

Insurance contract or identification number	05778
Number of Individuals Covered	326
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
Total amount of commissions paid to insurance broker	USD $8,988
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $179,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,988
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )

Policy contract number

103012

Policy instance

Insurance contract or identification number	103012
Number of Individuals Covered	225
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $109,317
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,047,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $109,317
Insurance broker organization code?	3
Insurance broker name	WELLS FARGO INS SVCS OF WV INC

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30000578

Policy instance

Insurance contract or identification number	30000578
Number of Individuals Covered	352
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,096
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $68,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )

Policy contract number

05778

Policy instance

Insurance contract or identification number	05778
Number of Individuals Covered	365
Insurance policy start date	2010-09-01
Insurance policy end date	2011-08-31
Total amount of commissions paid to insurance broker	USD $8,773
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $175,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )

Policy contract number

103012

Policy instance

Insurance contract or identification number	103012
Number of Individuals Covered	339
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $118,438
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,331,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

855318G

Policy instance

Insurance contract or identification number	855318G
Number of Individuals Covered	379
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $17,107
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $180,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ESI (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

Policy instance

Number of Individuals Covered	328
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
Total amount of commissions paid to insurance broker	USD $504
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $10,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30000578

Policy instance

Insurance contract or identification number	30000578
Number of Individuals Covered	326
Insurance policy start date	2010-09-01
Insurance policy end date	2011-08-31
Total amount of commissions paid to insurance broker	USD $2,150
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $69,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 )

Policy contract number

103012

Policy instance

Insurance contract or identification number	103012
Number of Individuals Covered	329
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $123,861
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,424,747
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

855318G

Policy instance

Insurance contract or identification number	855318G
Number of Individuals Covered	369
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $14,673
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $139,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )

Policy contract number

WV05778

Policy instance

Insurance contract or identification number	WV05778
Number of Individuals Covered	398
Insurance policy start date	2009-09-01
Insurance policy end date	2010-08-31
Total amount of commissions paid to insurance broker	USD $10,360
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $207,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	TRIANA SERVICES COMPANY, LLC/ TRIANA ENERGY HOLDINGS, LLC
Employer identification number (EIN):	264486686
NAIC Classification:	541600