Plan Name | SEM OPERATING COMPANY DENTAL AND VISION PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | SEM OPERATING COMPANY LLC |
Employer identification number (EIN): | 462919798 |
NAIC Classification: | 211120 |
NAIC Description: | Crude Petroleum Extraction |
Additional information about SEM OPERATING COMPANY LLC
Jurisdiction of Incorporation: | Texas Secretary of State |
Incorporation Date: | 2013-05-29 |
Company Identification Number: | 0801792508 |
Legal Registered Office Address: |
6101 S BROADWAY AVE STE 105 TYLER United States of America (USA) 75703 |
More information about SEM OPERATING COMPANY LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2019-10-01 | MONIQUE MONTES | 2021-04-15 | ||
502 | 2019-10-01 | MONIQUE MONTES | 2022-03-23 | ||
502 | 2018-10-01 | MONIQUE MONTES | 2020-04-14 |
Measure | Date | Value |
---|---|---|
2019: SEM OPERATING COMPANY DENTAL AND VISION PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-10-01 | 143 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 153 |
Number of retired or separated participants receiving benefits | 2019-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
Total of all active and inactive participants | 2019-10-01 | 153 |
Number of employers contributing to the scheme | 2019-10-01 | 0 |
2018: SEM OPERATING COMPANY DENTAL AND VISION PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-10-01 | 127 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 143 |
Number of retired or separated participants receiving benefits | 2018-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 0 |
Total of all active and inactive participants | 2018-10-01 | 143 |
Number of employers contributing to the scheme | 2018-10-01 | 0 |
2019: SEM OPERATING COMPANY DENTAL AND VISION PLAN 2019 form 5500 responses | ||
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2019-10-01 | Type of plan entity | Single employer plan |
2019-10-01 | Submission has been amended | Yes |
2019-10-01 | This submission is the final filing | Yes |
2019-10-01 | Plan funding arrangement – Insurance | Yes |
2019-10-01 | Plan benefit arrangement – Insurance | Yes |
2018: SEM OPERATING COMPANY DENTAL AND VISION PLAN 2018 form 5500 responses | ||
2018-10-01 | Type of plan entity | Single employer plan |
2018-10-01 | First time form 5500 has been submitted | Yes |
2018-10-01 | Plan funding arrangement – Insurance | Yes |
2018-10-01 | Plan benefit arrangement – Insurance | Yes |
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||
Policy contract number | 153451 | ||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||||||||
Policy contract number | F024595 | ||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||
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AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |||||||||||||||||||||||||||||
Policy contract number | 10-048713 | ||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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