401k Plan data: ANTERO RESOURCES HEALTH PLAN plan

ANTERO RESOURCES HEALTH PLAN 401k Plan overview

Plan Name	ANTERO RESOURCES HEALTH PLAN
Plan identification number	502

ANTERO RESOURCES HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

ANTERO RESOURCES CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: ANTERO RESOURCES CORPORATION

Employer identification number (EIN): 320114849

NAIC Classification: 211110
NAIC Description: Oil and Gas Extraction, Oil

Additional information about ANTERO RESOURCES CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3535899

More information about ANTERO RESOURCES CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANTERO RESOURCES HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2012-01-01 ALVYN SCHOPP

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2012-01-01	ALVYN SCHOPP

Plan Statistics for ANTERO RESOURCES HEALTH PLAN

401k plan membership statisitcs for ANTERO RESOURCES HEALTH PLAN

Measure Date Value
2012: ANTERO RESOURCES HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 150
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 150
Total participants 2012-01-01 150

Measure	Date	Value
2012: ANTERO RESOURCES HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	150
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	150
Total participants	2012-01-01	150

Form 5500 Responses for ANTERO RESOURCES HEALTH PLAN

2012: ANTERO RESOURCES HEALTH PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )

Policy contract number

411449

Policy instance

Insurance contract or identification number	411449
Number of Individuals Covered	150
Insurance policy start date	2012-01-01
Insurance policy end date	2013-01-01
Total amount of commissions paid to insurance broker	USD $53,287
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	EAP
Welfare Benefit Premiums Paid to Carrier	USD $1,583,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $53,287
Insurance broker organization code?	3
Insurance broker name	INFINITY INSURANCE SOLUTIONS, LLC

Potentially related plans

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Company Name:	ANTERO RESOURCES CORPORATION
Employer identification number (EIN):	320114849
NAIC Classification:	211110
NAIC Description:	Oil and Gas Extraction, Oil

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3535899