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| Plan Name | ROCKY MOUNTAIN WIRELINE SERVICE, INC. MEDICAL AND DENTAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ROCKY MOUNTAIN WIRELINE SERVICE, INC. |
| Employer identification number (EIN): | 841079944 |
| NAIC Classification: | 211120 |
| NAIC Description: | Crude Petroleum Extraction |
Additional information about ROCKY MOUNTAIN WIRELINE SERVICE, INC.
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 1988-03-01 |
| Company Identification Number: | 19881009445 |
| Legal Registered Office Address: |
2144 Highway 6 and 50 Grand Junction United States of America (USA) 81505-9404 |
More information about ROCKY MOUNTAIN WIRELINE SERVICE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-01-01 | KAREN EWALL |
| 2015: ROCKY MOUNTAIN WIRELINE SERVICE, INC. MEDICAL AND DENTAL PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | First time form 5500 has been submitted | Yes |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 ) | |
| Policy contract number | GT9035 |
| Policy instance | 1 |
| ROCKY MOUNTAIN HEALTH CARE OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47004 ) | |
| Policy contract number | 05900000 |
| Policy instance | 2 |
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