MOUNTAIN EMPIRE OIL COMPANY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN
| Measure | Date | Value |
|---|
| 2017: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-11-01 | 256 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 0 |
| Total of all active and inactive participants | 2017-11-01 | 0 |
| 2016: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-11-01 | 322 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 256 |
| Total of all active and inactive participants | 2016-11-01 | 256 |
| 2015: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-11-01 | 306 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 322 |
| Total of all active and inactive participants | 2015-11-01 | 322 |
| 2014: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-11-01 | 278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 306 |
| Total of all active and inactive participants | 2014-11-01 | 306 |
| Total participants | 2014-11-01 | 306 |
| 2013: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-01 | 276 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-01 | 278 |
| Total of all active and inactive participants | 2013-11-01 | 278 |
| 2012: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-11-01 | 201 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-11-01 | 276 |
| Total of all active and inactive participants | 2012-11-01 | 276 |
| 2017: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | This submission is the final filing | Yes |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | Submission has been amended | No |
| 2014-11-01 | This submission is the final filing | No |
| 2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-11-01 | Plan is a collectively bargained plan | No |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | Single employer plan |
| 2013-11-01 | Plan funding arrangement – Insurance | Yes |
| 2013-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: MOUNTAIN EMPIRE OIL COMPANY HEALTHCARE PLAN 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | Single employer plan |
| 2012-11-01 | First time form 5500 has been submitted | Yes |
| 2012-11-01 | Plan funding arrangement – Insurance | Yes |
| 2012-11-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 93808 |
| Policy instance | 1 |
| Insurance contract or identification number | 93808 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $11,724 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $3,578 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,724 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | THOMAS L FOSTER |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 93808 |
| Policy instance | 1 |
| Insurance contract or identification number | 93808 | | Number of Individuals Covered | 381 | | Insurance policy start date | 2013-11-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $69,739 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $1,257,646 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $69,739 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | THOMAS L FOSTER |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | K3752 |
| Policy instance | 2 |
| Insurance contract or identification number | K3752 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2013-11-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $12,501 | | Total amount of fees paid to insurance company | USD $432 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CANCER, INTENSIVE CARE | | Welfare Benefit Premiums Paid to Carrier | USD $52,683 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,173 | | Amount paid for insurance broker fees | 270 | | Insurance broker name | ABBIE W COFFMAN |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 93808 |
| Policy instance | 1 |
| Insurance contract or identification number | 93808 | | Number of Individuals Covered | 383 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $92,919 | | 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 | | Welfare Benefit Premiums Paid to Carrier | USD $1,592,259 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $92,919 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | THOMAS L FOSTER |
|
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | K3752 |
| Policy instance | 2 |
| Insurance contract or identification number | K3752 | | Number of Individuals Covered | 56 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $11,257 | | Total amount of fees paid to insurance company | USD $0 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CANCER, INTENSIVE CARE | | Welfare Benefit Premiums Paid to Carrier | USD $35,208 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,853 | | Insurance broker name | RONALD E KIRKLAND |
|
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