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PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 401k Plan overview

Plan NamePAR PACIFIC HOLDINGS, INC. BENEFIT PLAN
Plan identification number 501

PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

PAR PETROLEUM CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:PAR PETROLEUM CORPORATION
Employer identification number (EIN):841060803
NAIC Classification:324110
NAIC Description:Petroleum Refineries

Additional information about PAR PETROLEUM CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 4042296

More information about PAR PETROLEUM CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-09-01JAMES MATTHEW VAUGHN2019-06-04
5012016-09-01JAMES MATTHEW VAUGHN
5012015-09-01JAMES MATTHEW VAUGHN
5012014-09-01CHRIS MICKLAS
5012013-09-01CHRIS MICKLAS
5012009-01-01PEG GRIFFITH KEVIN NANKE2010-07-28

Plan Statistics for PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN

401k plan membership statisitcs for PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN

Measure Date Value
2017: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01693
Total number of active participants reported on line 7a of the Form 55002017-09-01684
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01684
Number of employers contributing to the scheme2017-09-010
2016: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01692
Total number of active participants reported on line 7a of the Form 55002016-09-01684
Number of retired or separated participants receiving benefits2016-09-019
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01693
2015: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01578
Total number of active participants reported on line 7a of the Form 55002015-09-01685
Number of retired or separated participants receiving benefits2015-09-017
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01692
2014: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01345
Total number of active participants reported on line 7a of the Form 55002014-09-01565
Number of retired or separated participants receiving benefits2014-09-0113
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01578
2013: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01278
Total number of active participants reported on line 7a of the Form 55002013-09-01278
Number of retired or separated participants receiving benefits2013-09-011
Total of all active and inactive participants2013-09-01279
2009: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01164
Total number of active participants reported on line 7a of the Form 55002009-01-0174
Number of retired or separated participants receiving benefits2009-01-0120
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0194

Form 5500 Responses for PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN

2017: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01First time form 5500 has been submittedYes
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: PAR PACIFIC HOLDINGS, INC. BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number24599
Policy instance 2
Insurance contract or identification number24599
Number of Individuals Covered1078
Insurance policy start date2017-09-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,050,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30042366
Policy instance 1
Insurance contract or identification number30042366
Number of Individuals Covered815
Insurance policy start date2017-09-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,144
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFEWORKS (National Association of Insurance Commissioners NAIC id number: 54161 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered684
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $11,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7240
Policy instance 4
Insurance contract or identification number7240
Number of Individuals Covered259
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,657,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967109
Policy instance 5
Insurance contract or identification numberFLX967109
Number of Individuals Covered684
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $14,597
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,BUSINESS TRAVEL ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $749,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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