401k Plan data: TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN plan

TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	505

TRUE COMPANIES HEALTH AND WELFARE 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)

401k Sponsoring company profile

TRUE DRILLING LLC has sponsored the creation of one or more 401k plans.

Company Name: TRUE DRILLING LLC

Employer identification number (EIN): 830171045

NAIC Classification: 211120
NAIC Description: Crude Petroleum Extraction

Additional information about TRUE DRILLING LLC

Jurisdiction of Incorporation: Wyoming Corporations Division

Incorporation Date: 1998-07-14

Company Identification Number: 000335875

Legal Registered Office Address: PO Drawer 2360

Casper
United States of America (USA)
82602

More information about TRUE DRILLING LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2022-01-01 DAVID L TRUE 2023-07-27
505 2021-01-01 DAVID L TRUE 2022-07-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2022-01-01	DAVID L TRUE	2023-07-27
505	2021-01-01	DAVID L TRUE	2022-07-25

Plan Statistics for TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2022: TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 821
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 935
Total of all active and inactive participants 2022-01-01 935
2021: TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 819
Number of retired or separated participants receiving benefits 2021-01-01 2
Total of all active and inactive participants 2021-01-01 821

Measure	Date	Value
2022: TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	821
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	935
Total of all active and inactive participants	2022-01-01	935
2021: TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	819
Number of retired or separated participants receiving benefits	2021-01-01	2
Total of all active and inactive participants	2021-01-01	821

Form 5500 Responses for TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN

2022: TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: TRUE COMPANIES HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

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

Policy contract number

955988

Policy instance

Insurance contract or identification number	955988
Number of Individuals Covered	935
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $21,130
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $438,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,072
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )

Policy contract number

10358212

Policy instance

Insurance contract or identification number	10358212
Number of Individuals Covered	742
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

619285

Policy instance

Insurance contract or identification number	619285
Number of Individuals Covered	408
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $45,796
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $376,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,285
Insurance broker organization code?	3

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

Policy contract number

955988

Policy instance

Insurance contract or identification number	955988
Number of Individuals Covered	819
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $9,227
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $161,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,800
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF WYOMING (National Association of Insurance Commissioners NAIC id number: 53767 )

Policy contract number

10358212

Policy instance

Insurance contract or identification number	10358212
Number of Individuals Covered	680
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

619285

Policy instance

Insurance contract or identification number	619285
Number of Individuals Covered	310
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $6,007
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $48,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,031
Insurance broker organization code?	3

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Company Name:	TRUE DRILLING LLC
Employer identification number (EIN):	830171045
NAIC Classification:	211120
NAIC Description:	Crude Petroleum Extraction

Jurisdiction of Incorporation:	Wyoming Corporations Division
Incorporation Date:	1998-07-14
Company Identification Number:	000335875
Legal Registered Office Address:	PO Drawer 2360 Casper United States of America (USA) 82602