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BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 401k Plan overview

Plan NameBON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN
Plan identification number 002

BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Stock bonus
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.

401k Sponsoring company profile

BON SECOURS CHARITY HEALTH SYSTEM, INC has sponsored the creation of one or more 401k plans.

Company Name:BON SECOURS CHARITY HEALTH SYSTEM, INC
Employer identification number (EIN):912135195
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01JOHN MORGAN2023-10-16
0022022-01-01JOHN MORGAN2024-03-18
0022021-01-01JOHN MORGAN2022-10-12
0022020-01-01JORDY RABINOWITZ2021-10-15
0022019-01-01PETER KENNIFF2020-12-11
0022019-01-01PETER KENNIFF2020-10-15
0022018-01-01PETER KENNIFF2019-10-15
0022017-01-01
0022016-01-01
0022015-05-19PETER KENNIFF PETER KENNIFF2016-10-12
0022015-05-19

Plan Statistics for BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

401k plan membership statisitcs for BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

Measure Date Value
2022: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-014,118
Total number of active participants reported on line 7a of the Form 55002022-01-013,400
Number of retired or separated participants receiving benefits2022-01-01131
Number of other retired or separated participants entitled to future benefits2022-01-011,052
Total of all active and inactive participants2022-01-014,583
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0118
Total participants2022-01-014,601
Number of participants with account balances2022-01-014,223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0131
2021: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-014,222
Total number of active participants reported on line 7a of the Form 55002021-01-012,179
Number of retired or separated participants receiving benefits2021-01-0186
Number of other retired or separated participants entitled to future benefits2021-01-011,040
Total of all active and inactive participants2021-01-013,305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-013,305
Number of participants with account balances2021-01-013,305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0133
2020: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014,226
Total number of active participants reported on line 7a of the Form 55002020-01-013,302
Number of retired or separated participants receiving benefits2020-01-0186
Number of other retired or separated participants entitled to future benefits2020-01-01834
Total of all active and inactive participants2020-01-014,222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-014,222
Number of participants with account balances2020-01-013,301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01150
2019: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,974
Total number of active participants reported on line 7a of the Form 55002019-01-013,512
Number of retired or separated participants receiving benefits2019-01-0173
Number of other retired or separated participants entitled to future benefits2019-01-01626
Total of all active and inactive participants2019-01-014,211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0115
Total participants2019-01-014,226
Number of participants with account balances2019-01-013,202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0111
2018: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,889
Total number of active participants reported on line 7a of the Form 55002018-01-013,472
Number of retired or separated participants receiving benefits2018-01-0135
Number of other retired or separated participants entitled to future benefits2018-01-01454
Total of all active and inactive participants2018-01-013,961
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0113
Total participants2018-01-013,974
Number of participants with account balances2018-01-012,573
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013,722
Total number of active participants reported on line 7a of the Form 55002017-01-013,439
Number of retired or separated participants receiving benefits2017-01-0135
Number of other retired or separated participants entitled to future benefits2017-01-01409
Total of all active and inactive participants2017-01-013,883
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-014
Total participants2017-01-013,887
Number of participants with account balances2017-01-012,440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0111
2016: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,698
Total number of active participants reported on line 7a of the Form 55002016-01-013,317
Number of retired or separated participants receiving benefits2016-01-0124
Number of other retired or separated participants entitled to future benefits2016-01-01377
Total of all active and inactive participants2016-01-013,718
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-014
Total participants2016-01-013,722
Number of participants with account balances2016-01-012,220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-193,646
Total number of active participants reported on line 7a of the Form 55002015-05-193,267
Number of retired or separated participants receiving benefits2015-05-1925
Number of other retired or separated participants entitled to future benefits2015-05-19394
Total of all active and inactive participants2015-05-193,686
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-05-1912
Total participants2015-05-193,698
Number of participants with account balances2015-05-192,301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-05-198

Financial Data on BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

Measure Date Value
2022 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-20,773,784
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$29,884,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$29,280,274
Expenses. Certain deemed distributions of participant loans2022-12-31$111,156
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$24,059,995
Value of total assets at end of year2022-12-31$251,625,961
Value of total assets at beginning of year2022-12-31$302,284,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$493,015
Total interest from all sources2022-12-31$556,458
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$9,628,581
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$9,628,581
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$16,463,385
Participant contributions at end of year2022-12-31$2,379,811
Participant contributions at beginning of year2022-12-31$2,504,984
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,217,209
Administrative expenses (other) incurred2022-12-31$40
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-50,658,229
Value of net assets at end of year (total assets less liabilities)2022-12-31$251,625,961
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$302,284,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$230,666,837
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$283,170,001
Value of interest in pooled separate accounts at end of year2022-12-31$59,496
Value of interest in pooled separate accounts at beginning of year2022-12-31$58,867
Interest on participant loans2022-12-31$113,987
Interest earned on other investments2022-12-31$442,471
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$18,323,380
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$16,416,760
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-55,019,447
Net investment gain/loss from pooled separate accounts2022-12-31$629
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$6,379,401
Employer contributions (assets) at end of year2022-12-31$196,437
Employer contributions (assets) at beginning of year2022-12-31$133,578
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$29,280,274
Contract administrator fees2022-12-31$492,975
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN2022-12-31271728945
2021 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$58,730,195
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$23,361,851
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$22,689,338
Expenses. Certain deemed distributions of participant loans2021-12-31$118,977
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$24,771,991
Value of total assets at end of year2021-12-31$302,284,190
Value of total assets at beginning of year2021-12-31$266,915,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$553,536
Total interest from all sources2021-12-31$472,788
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$9,405,732
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$9,405,732
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$16,992,003
Participant contributions at end of year2021-12-31$2,504,984
Participant contributions at beginning of year2021-12-31$2,404,725
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,357,620
Administrative expenses (other) incurred2021-12-31$40
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$35,368,344
Value of net assets at end of year (total assets less liabilities)2021-12-31$302,284,190
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$266,915,846
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$283,170,001
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$251,598,803
Value of interest in pooled separate accounts at end of year2021-12-31$58,867
Value of interest in pooled separate accounts at beginning of year2021-12-31$70,917
Interest on participant loans2021-12-31$124,297
Interest earned on other investments2021-12-31$348,491
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$16,416,760
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$12,841,401
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$24,079,684
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$6,422,368
Employer contributions (assets) at end of year2021-12-31$133,578
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$22,689,338
Contract administrator fees2021-12-31$553,496
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN2021-12-31271728945
2020 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$57,251,470
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$17,236,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$16,558,517
Expenses. Certain deemed distributions of participant loans2020-12-31$161,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$24,053,414
Value of total assets at end of year2020-12-31$266,915,846
Value of total assets at beginning of year2020-12-31$226,901,134
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$516,448
Total interest from all sources2020-12-31$167,519
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$5,726,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$5,726,521
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$15,999,925
Participant contributions at end of year2020-12-31$2,404,725
Participant contributions at beginning of year2020-12-31$2,581,282
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$1,484,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$40,014,712
Value of net assets at end of year (total assets less liabilities)2020-12-31$266,915,846
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$226,901,134
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$230,495
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$251,598,803
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$216,781,497
Value of interest in pooled separate accounts at end of year2020-12-31$70,917
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,892
Interest on participant loans2020-12-31$139,628
Interest earned on other investments2020-12-31$27,891
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$12,841,401
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$7,536,463
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$27,304,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$6,569,151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$16,558,517
Contract administrator fees2020-12-31$285,953
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31PKF
Accountancy firm EIN2020-12-31271728945
2019 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$32,321,492
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$54,047,800
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$15,207,857
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$14,833,847
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$20,053,616
Value of total assets at end of year2019-12-31$226,901,134
Value of total assets at beginning of year2019-12-31$155,739,699
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$374,010
Total interest from all sources2019-12-31$329,578
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$5,671,710
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$5,671,710
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$15,068,624
Participant contributions at end of year2019-12-31$2,581,282
Participant contributions at beginning of year2019-12-31$2,471,315
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,853,740
Other income not declared elsewhere2019-12-31$57,497
Administrative expenses (other) incurred2019-12-31$227,828
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$38,839,943
Value of net assets at end of year (total assets less liabilities)2019-12-31$226,901,134
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$155,739,699
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$146,182
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$216,781,497
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$148,957,523
Value of interest in pooled separate accounts at end of year2019-12-31$1,892
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,837
Interest on participant loans2019-12-31$158,784
Interest earned on other investments2019-12-31$170,794
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$7,536,463
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$4,309,024
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$27,992,841
Net investment gain/loss from pooled separate accounts2019-12-31$55
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,131,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$14,833,847
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31GRANT THORNTON LLP
Accountancy firm EIN2019-12-31366055558
2018 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$10,860,071
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$11,131,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$10,391,834
Expenses. Certain deemed distributions of participant loans2018-12-31$498,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$18,809,467
Value of total assets at end of year2018-12-31$155,739,699
Value of total assets at beginning of year2018-12-31$156,011,395
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$241,241
Total interest from all sources2018-12-31$214,779
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$4,532,916
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$4,532,916
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$14,465,982
Participant contributions at end of year2018-12-31$2,471,315
Participant contributions at beginning of year2018-12-31$2,645,466
Assets. Other investments not covered elsewhere at end of year2018-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$3,882,279
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,869,304
Administrative expenses (other) incurred2018-12-31$143,054
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-271,696
Value of net assets at end of year (total assets less liabilities)2018-12-31$155,739,699
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$156,011,395
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$98,187
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$148,957,523
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$146,348,058
Value of interest in pooled separate accounts at end of year2018-12-31$1,837
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,784
Interest on participant loans2018-12-31$133,673
Interest earned on other investments2018-12-31$81,106
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$4,309,024
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$3,133,808
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-12,697,144
Net investment gain/loss from pooled separate accounts2018-12-31$53
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,474,181
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$10,391,834
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31Yes
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31GRANT THORNTON LLP
Accountancy firm EIN2018-12-31366055558
2017 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$582,309
Total unrealized appreciation/depreciation of assets2017-12-31$582,309
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$36,632,297
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$10,850,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$10,448,979
Value of total corrective distributions2017-12-31$156,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$16,031,305
Value of total assets at end of year2017-12-31$156,011,395
Value of total assets at beginning of year2017-12-31$130,229,577
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$244,612
Total interest from all sources2017-12-31$206,017
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$4,527,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$4,527,884
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$12,848,902
Participant contributions at end of year2017-12-31$2,645,466
Participant contributions at beginning of year2017-12-31$2,357,028
Assets. Other investments not covered elsewhere at end of year2017-12-31$3,882,279
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$4,493,067
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,103,816
Administrative expenses (other) incurred2017-12-31$96,818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$25,781,818
Value of net assets at end of year (total assets less liabilities)2017-12-31$156,011,395
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$130,229,577
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$147,794
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$146,348,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$117,414,201
Value of interest in pooled separate accounts at end of year2017-12-31$1,784
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,732
Interest on participant loans2017-12-31$104,094
Interest earned on other investments2017-12-31$101,923
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$3,133,808
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$5,873,386
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$15,284,730
Net investment gain/loss from pooled separate accounts2017-12-31$52
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,078,587
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$90,163
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$10,448,979
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31GRANT THORNTON LLP
Accountancy firm EIN2017-12-31366055558
2016 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$206,090
Total unrealized appreciation/depreciation of assets2016-12-31$206,090
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$22,297,262
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$8,795,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$8,225,364
Expenses. Certain deemed distributions of participant loans2016-12-31$33,279
Value of total corrective distributions2016-12-31$325,235
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$13,718,713
Value of total assets at end of year2016-12-31$130,229,577
Value of total assets at beginning of year2016-12-31$116,727,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$211,214
Total interest from all sources2016-12-31$278,781
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$3,908,957
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$3,908,957
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$11,240,901
Participant contributions at end of year2016-12-31$2,357,028
Participant contributions at beginning of year2016-12-31$2,336,947
Assets. Other investments not covered elsewhere at end of year2016-12-31$4,493,067
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$4,524,640
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$525,282
Administrative expenses (other) incurred2016-12-31$81,080
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$13,502,170
Value of net assets at end of year (total assets less liabilities)2016-12-31$130,229,577
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$116,727,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$130,134
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$117,414,201
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$100,628,961
Value of interest in pooled separate accounts at end of year2016-12-31$1,732
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,681
Interest on participant loans2016-12-31$111,534
Interest earned on other investments2016-12-31$167,247
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$5,873,386
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$9,179,492
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$4,184,671
Net investment gain/loss from pooled separate accounts2016-12-31$50
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,952,530
Employer contributions (assets) at end of year2016-12-31$90,163
Employer contributions (assets) at beginning of year2016-12-31$55,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$8,225,364
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31GRANT THORNTON LLP
Accountancy firm EIN2016-12-31366055558
2015 : BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$0
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$5,192,517
Total transfer of assets from this plan2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$29,074
Expenses. Interest paid2015-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-12-31$0
Total income from all sources (including contributions)2015-12-31$12,702,594
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$8,188,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$7,866,789
Expenses. Certain deemed distributions of participant loans2015-12-31$115,825
Value of total corrective distributions2015-12-31$10,941
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$14,245,562
Value of total assets at end of year2015-12-31$116,671,746
Value of total assets at beginning of year2015-12-31$106,993,848
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$194,587
Total income from rents2015-12-31$0
Total interest from all sources2015-12-31$339,892
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$3,981,552
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$3,981,552
Assets. Real estate other than employer real property at end of year2015-12-31$0
Assets. Real estate other than employer real property at beginning of year2015-12-31$0
Administrative expenses professional fees incurred2015-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31No
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$10,646,005
Participant contributions at end of year2015-12-31$2,336,947
Participant contributions at beginning of year2015-12-31$2,067,735
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Assets. Other investments not covered elsewhere at end of year2015-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,820,884
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$23
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$167
Assets. Loans (other than to participants) at end of year2015-12-31$0
Assets. Loans (other than to participants) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$29,074
Other income not declared elsewhere2015-12-31$0
Administrative expenses (other) incurred2015-12-31$75,023
Liabilities. Value of operating payables at end of year2015-12-31$3
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$3,708
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$4,514,452
Value of net assets at end of year (total assets less liabilities)2015-12-31$116,671,743
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$106,964,774
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$0
Assets. partnership/joint venture interests at beginning of year2015-12-31$0
Investment advisory and management fees2015-12-31$119,564
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$101,261,676
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$89,576,611
Value of interest in pooled separate accounts at end of year2015-12-31$1,681
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Interest on participant loans2015-12-31$93,029
Income. Interest from loans (other than to participants)2015-12-31$0
Interest earned on other investments2015-12-31$243,852
Income. Interest from US Government securities2015-12-31$0
Income. Interest from corporate debt instruments2015-12-31$0
Value of interest in master investment trust accounts at end of year2015-12-31$0
Value of interest in master investment trust accounts at beginning of year2015-12-31$0
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$3,888,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,642,523
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,642,523
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$3,011
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$9,179,492
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$12,706,812
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Asset value of US Government securities at end of year2015-12-31$0
Asset value of US Government securities at beginning of year2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-5,864,446
Net investment gain/loss from pooled separate accounts2015-12-31$34
Net investment gain or loss from common/collective trusts2015-12-31$0
Net gain/loss from 103.12 investment entities2015-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$0
Assets. Invements in employer securities at beginning of year2015-12-31$0
Assets. Value of employer real property at end of year2015-12-31$0
Assets. Value of employer real property at beginning of year2015-12-31$0
Contributions received in cash from employer2015-12-31$1,778,673
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$0
Income. Dividends from preferred stock2015-12-31$0
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$7,866,789
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$0
Contract administrator fees2015-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$0
Liabilities. Value of benefit claims payable at end of year2015-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$0
Aggregate carrying amount (costs) on sale of assets2015-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2015-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31GRANT THORNTON LLP
Accountancy firm EIN2015-12-31366055558

Form 5500 Responses for BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN

2022: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BON SECOURS CHARITY HEALTH SYSTEM TAX SHELTERED ANNUITY PLAN 2015 form 5500 responses
2015-05-19Type of plan entitySingle employer plan
2015-05-19First time form 5500 has been submittedYes
2015-05-19Submission has been amendedNo
2015-05-19This submission is the final filingNo
2015-05-19This return/report is a short plan year return/report (less than 12 months)Yes
2015-05-19Plan is a collectively bargained planNo
2015-05-19Plan funding arrangement – InsuranceYes
2015-05-19Plan funding arrangement – TrustYes
2015-05-19Plan benefit arrangement – InsuranceYes
2015-05-19Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number95894-01
Policy instance 1
Insurance contract or identification number95894-01
Number of Individuals Covered756
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550330
Policy instance 3
Insurance contract or identification numberL7550330
Number of Individuals Covered118
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $500
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $500
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT/BROKERS COMPENSATION
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number95894-01
Policy instance 2
Insurance contract or identification number95894-01
Number of Individuals Covered756
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550313
Policy instance 1
Insurance contract or identification numberL7550313
Number of Individuals Covered171
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,075
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,075
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT/BROKERS COMPENSATION
Insurance broker organization code?3
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550330
Policy instance 3
Insurance contract or identification numberL7550330
Number of Individuals Covered130
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $749
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $749
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT/BROKERS COMPENSATION
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number95894-01
Policy instance 2
Insurance contract or identification number95894-01
Number of Individuals Covered746
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550313
Policy instance 1
Insurance contract or identification numberL7550313
Number of Individuals Covered187
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,131
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,131
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT/BROKERS COMPENSATION
Insurance broker organization code?3
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550330
Policy instance 3
Insurance contract or identification numberL7550330
Number of Individuals Covered138
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $648
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $648
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT/BROKERS COMPENSATION
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number95894-01
Policy instance 2
Insurance contract or identification number95894-01
Number of Individuals Covered708
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550313
Policy instance 1
Insurance contract or identification numberL7550313
Number of Individuals Covered198
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,359
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,359
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT/BROKERS COMPENSATION
Insurance broker organization code?3
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550313
Policy instance 2
Insurance contract or identification numberL7550313
Number of Individuals Covered209
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,286
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,286
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number95894-01
Policy instance 1
Insurance contract or identification number95894-01
Number of Individuals Covered603
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number95894-01
Policy instance 3
Insurance contract or identification number95894-01
Number of Individuals Covered456
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INS CO (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550313
Policy instance 2
Insurance contract or identification numberL7550313
Number of Individuals Covered216
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,366
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,366
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69412
Policy instance 1
Insurance contract or identification number69412
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550313
Policy instance 2
Insurance contract or identification numberL7550313
Number of Individuals Covered229
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,355
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,355
Insurance broker organization code?3
Insurance broker nameHEALTHCARE COMM. CORP. SECURITIES
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69412
Policy instance 1
Insurance contract or identification number69412
Number of Individuals Covered549
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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