401k Plan data: DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN plan

DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN
Plan identification number	502

DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 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

401k Sponsoring company profile

DEEPCOR MARINE INC has sponsored the creation of one or more 401k plans.

Company Name: DEEPCOR MARINE INC

Employer identification number (EIN): 465717664

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Additional information about DEEPCOR MARINE INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 5537844

More information about DEEPCOR MARINE INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2015-07-01 KIM DARBONNE
502 2015-07-01 KIM DARBONNE
502 2014-07-01 KIM DARBONNE
502 2014-07-01 KIM DARBONNE

Plan id#	Filing Submission Date	Name of Administrator
502	2015-07-01	KIM DARBONNE
502	2015-07-01	KIM DARBONNE
502	2014-07-01	KIM DARBONNE
502	2014-07-01	KIM DARBONNE

Plan Statistics for DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2015: DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 139
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 127
Total of all active and inactive participants 2015-07-01 127
Total participants 2015-07-01 0
2014: DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 189
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 141
Total of all active and inactive participants 2014-07-01 141
Total participants 2014-07-01 0

Measure	Date	Value
2015: DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	139
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	127
Total of all active and inactive participants	2015-07-01	127
Total participants	2015-07-01	0
2014: DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	189
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	141
Total of all active and inactive participants	2014-07-01	141
Total participants	2014-07-01	0

Form 5500 Responses for DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN

2015: DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	Yes
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: DEEPCOR MARINE INC. EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	First time form 5500 has been submitted	Yes
2014-07-01	Submission has been amended	Yes
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000934389

Policy instance

Insurance contract or identification number	000000934389
Number of Individuals Covered	111
Insurance policy start date	2015-07-01
Insurance policy end date	2016-04-01
Total amount of commissions paid to insurance broker	USD $4,788
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,788
Insurance broker organization code?	3
Insurance broker name	CHRISTIAN LAPEYRE INSURANCE SERVICE

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00501591

Policy instance

Insurance contract or identification number	00501591
Number of Individuals Covered	124
Insurance policy start date	2015-07-01
Insurance policy end date	2016-06-30
Total amount of commissions paid to insurance broker	USD $9,392
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,392
Insurance broker organization code?	3
Insurance broker name	CHRISTIAN D LAPEYRE

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

Policy contract number

30049422

Policy instance

Insurance contract or identification number	30049422
Number of Individuals Covered	99
Insurance policy start date	2015-06-01
Insurance policy end date	2016-05-31
Total amount of commissions paid to insurance broker	USD $1,293
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,293
Insurance broker organization code?	3
Insurance broker name	CHRISTIAN D LAPEYRE INS SERVICES

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000417484

Policy instance

Insurance contract or identification number	000000417484
Number of Individuals Covered	130
Insurance policy start date	2015-06-01
Insurance policy end date	2016-06-01
Total amount of commissions paid to insurance broker	USD $9,910
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,910
Insurance broker organization code?	3
Insurance broker name	CHRISTIAN LAPEYRE INSURANCE SERVICE

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000417485

Policy instance

Insurance contract or identification number	000000417485
Number of Individuals Covered	85
Insurance policy start date	2015-01-01
Insurance policy end date	2016-01-01
Total amount of commissions paid to insurance broker	USD $10,722
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,722
Insurance broker organization code?	3
Insurance broker name	CHRISTIAN LAPEYRE INSURANCE SERVICE

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78F68ERC

Policy instance

Insurance contract or identification number	78F68ERC
Number of Individuals Covered	127
Insurance policy start date	2014-07-01
Insurance policy end date	2015-07-01
Total amount of commissions paid to insurance broker	USD $48,739
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48,739
Insurance broker organization code?	3
Insurance broker name	ALFORD, STAPLES, LAPEYRE & ROBICHAU

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00501591

Policy instance

Insurance contract or identification number	00501591
Number of Individuals Covered	137
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $6,574
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,574
Insurance broker organization code?	3
Insurance broker name	CHRISTIAN D LAPEYRE

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

Policy contract number

30049422

Policy instance

Insurance contract or identification number	30049422
Number of Individuals Covered	122
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $1,389
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,341
Insurance broker organization code?	3
Insurance broker name	USI SOUTHWEST INC

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000417484

Policy instance

Insurance contract or identification number	000000417484
Number of Individuals Covered	173
Insurance policy start date	2014-06-01
Insurance policy end date	2015-06-01
Total amount of commissions paid to insurance broker	USD $6,833
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,833
Insurance broker organization code?	3
Insurance broker name	CHRISTIAN LAPEYRE INSURANCE SERVICE

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

000000417485

Policy instance

Insurance contract or identification number	000000417485
Number of Individuals Covered	139
Insurance policy start date	2014-06-01
Insurance policy end date	2015-01-01
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78F68ERC

Policy instance

Insurance contract or identification number	78F68ERC
Number of Individuals Covered	141
Insurance policy start date	2014-07-01
Insurance policy end date	2015-07-01
Total amount of commissions paid to insurance broker	USD $87,741
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,754,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $87,741
Insurance broker organization code?	3
Insurance broker name	ALFORD, STAPLES, LAPEYRE & ROBICHAU

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Company Name:	DEEPCOR MARINE INC
Employer identification number (EIN):	465717664
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	5537844