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THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 401k Plan overview

Plan NameTHE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC
Plan identification number 501

THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

SOMERSET OPERATING COMPANY LLC has sponsored the creation of one or more 401k plans.

Company Name:SOMERSET OPERATING COMPANY LLC
Employer identification number (EIN):364731063
NAIC Classification:221100

Additional information about SOMERSET OPERATING COMPANY LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5142983

More information about SOMERSET OPERATING COMPANY LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01JAMES NOTARIS
5012016-01-01JAMES NOTARIS
5012015-01-01JAMES NOTARIS
5012014-01-01JOSEPH PROVINO JOSEPH PROVINO2015-10-14
5012013-01-01JOSEPH PROVINO JOSEPH PROVINO2014-10-15
5012012-01-01JOSEPH PROVINO JOSEPH PROVINO2014-10-15
5012011-01-01JOSEPH PROVINO

Financial Data on THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC

Measure Date Value
2017 : THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$157,684
Total income from all sources2017-12-31$61,426
Expenses. Total of all expenses incurred2017-12-31$61,426
Benefits paid (including direct rollovers)2017-12-31$61,065
Total plan assets at end of year2017-12-31$0
Total plan assets at beginning of year2017-12-31$157,684
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$10,402
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$11,726
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$0
Net plan assets at end of year (total assets less liabilities)2017-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$39,298
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$361
2016 : THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2016 401k financial data
Total plan liabilities at end of year2016-12-31$157,684
Total plan liabilities at beginning of year2016-12-31$334,045
Total income from all sources2016-12-31$252,975
Expenses. Total of all expenses incurred2016-12-31$252,975
Benefits paid (including direct rollovers)2016-12-31$251,636
Total plan assets at end of year2016-12-31$157,684
Total plan assets at beginning of year2016-12-31$334,045
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$33,779
Other income received2016-12-31$12,432
Net income (gross income less expenses)2016-12-31$0
Net plan assets at end of year (total assets less liabilities)2016-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$0
Total contributions received or receivable from employer(s)2016-12-31$206,764
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$1,339
2015 : THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$334,045
Total plan liabilities at beginning of year2015-12-31$285,916
Total income from all sources2015-12-31$71,304
Expenses. Total of all expenses incurred2015-12-31$128,386
Benefits paid (including direct rollovers)2015-12-31$126,409
Total plan assets at end of year2015-12-31$334,045
Total plan assets at beginning of year2015-12-31$342,998
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$14,837
Expenses. Other expenses not covered elsewhere2015-12-31$1,977
Other income received2015-12-31$-6,976
Net income (gross income less expenses)2015-12-31$-57,082
Net plan assets at end of year (total assets less liabilities)2015-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$57,082
Total contributions received or receivable from employer(s)2015-12-31$63,443
2014 : THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2014 401k financial data
Total plan liabilities at end of year2014-12-31$285,916
Total plan liabilities at beginning of year2014-12-31$199,898
Total income from all sources2014-12-31$39,752
Expenses. Total of all expenses incurred2014-12-31$109,516
Benefits paid (including direct rollovers)2014-12-31$107,523
Total plan assets at end of year2014-12-31$342,998
Total plan assets at beginning of year2014-12-31$326,744
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$21,505
Other income received2014-12-31$18,247
Net income (gross income less expenses)2014-12-31$-69,764
Net plan assets at end of year (total assets less liabilities)2014-12-31$57,082
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$126,846
Total contributions received or receivable from employer(s)2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,993
2013 : THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2013 401k financial data
Total plan liabilities at end of year2013-12-31$199,898
Total plan liabilities at beginning of year2013-12-31$124,092
Total income from all sources2013-12-31$72,581
Expenses. Total of all expenses incurred2013-12-31$96,568
Benefits paid (including direct rollovers)2013-12-31$94,758
Total plan assets at end of year2013-12-31$326,744
Total plan assets at beginning of year2013-12-31$274,925
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$18,952
Other income received2013-12-31$53,629
Net income (gross income less expenses)2013-12-31$-23,987
Net plan assets at end of year (total assets less liabilities)2013-12-31$126,846
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$150,833
Total contributions received or receivable from employer(s)2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,810
2012 : THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2012 401k financial data
Total plan liabilities at end of year2012-12-31$172,726
Total plan liabilities at beginning of year2012-12-31$43,435
Total income from all sources2012-12-31$208,262
Expenses. Total of all expenses incurred2012-12-31$142,033
Benefits paid (including direct rollovers)2012-12-31$140,540
Total plan assets at end of year2012-12-31$274,925
Total plan assets at beginning of year2012-12-31$79,405
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$11,249
Other income received2012-12-31$21,013
Net income (gross income less expenses)2012-12-31$66,229
Net plan assets at end of year (total assets less liabilities)2012-12-31$102,199
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$35,970
Total contributions received or receivable from employer(s)2012-12-31$176,000
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$1,493
2011 : THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2011 401k financial data
Total plan liabilities at end of year2011-12-31$43,435
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$2,496
Expenses. Total of all expenses incurred2011-12-31$88,710
Benefits paid (including direct rollovers)2011-12-31$87,688
Total plan assets at end of year2011-12-31$79,405
Total plan assets at beginning of year2011-12-31$122,184
Value of fidelity bond covering the plan2011-12-31$500,000
Expenses. Other expenses not covered elsewhere2011-12-31$1,022
Other income received2011-12-31$2,496
Net income (gross income less expenses)2011-12-31$-86,214
Net plan assets at end of year (total assets less liabilities)2011-12-31$35,970
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$122,184

Form 5500 Responses for THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC

2017: THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: THE RETIREE MEDICAL PLAN OF SOMERSET OPERATING COMPANY, LLC 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112678
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112678
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112678
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112678
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number514353
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00340172
Policy instance 3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112678
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00017
Policy instance 1

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