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| Plan Name | WACO OIL & GAS HEALTH INSURANCE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WACO OIL & GAS CO., INC. |
| Employer identification number (EIN): | 550552700 |
| NAIC Classification: | 326100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-02-01 | ERIC BROWN | ERIC BROWN | 2017-09-13 | |
| 501 | 2015-02-01 | ERIC BROWN | |||
| 501 | 2014-02-01 | ERIC BROWN |
| Measure | Date | Value |
|---|---|---|
| 2016: WACO OIL & GAS HEALTH INSURANCE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-02-01 | 215 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 155 |
| Total of all active and inactive participants | 2016-02-01 | 155 |
| Total participants | 2016-02-01 | 155 |
| 2015: WACO OIL & GAS HEALTH INSURANCE PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-02-01 | 315 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 215 |
| Total of all active and inactive participants | 2015-02-01 | 215 |
| Total participants | 2015-02-01 | 215 |
| 2014: WACO OIL & GAS HEALTH INSURANCE PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-02-01 | 279 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 315 |
| Total of all active and inactive participants | 2014-02-01 | 315 |
| Total participants | 2014-02-01 | 315 |
| 2016: WACO OIL & GAS HEALTH INSURANCE PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-02-01 | Type of plan entity | Single employer plan |
| 2016-02-01 | Submission has been amended | No |
| 2016-02-01 | This submission is the final filing | No |
| 2016-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-02-01 | Plan is a collectively bargained plan | No |
| 2016-02-01 | Plan funding arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: WACO OIL & GAS HEALTH INSURANCE PLAN 2015 form 5500 responses | ||
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | First time form 5500 has been submitted | Yes |
| 2015-02-01 | Submission has been amended | No |
| 2015-02-01 | This submission is the final filing | No |
| 2015-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-02-01 | Plan is a collectively bargained plan | No |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: WACO OIL & GAS HEALTH INSURANCE PLAN 2014 form 5500 responses | ||
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | First time form 5500 has been submitted | Yes |
| 2014-02-01 | Submission has been amended | No |
| 2014-02-01 | This submission is the final filing | No |
| 2014-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-02-01 | Plan is a collectively bargained plan | No |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 165878 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| HIGHMARK WEST VIRGINIA (National Association of Insurance Commissioners NAIC id number: 54828 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 165878 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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