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LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 401k Plan overview

Plan NameLA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN
Plan identification number 502

LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ESPERANZA HEALTH SYSTEMS, LTD DBA LA HACIENDA TREATMENT CENTER has sponsored the creation of one or more 401k plans.

Company Name:ESPERANZA HEALTH SYSTEMS, LTD DBA LA HACIENDA TREATMENT CENTER
Employer identification number (EIN):742664821
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about ESPERANZA HEALTH SYSTEMS, LTD DBA LA HACIENDA TREATMENT CENTER

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1993-04-02
Company Identification Number: 0006789510
Legal Registered Office Address: PO BOX 1

HUNT
United States of America (USA)
78024

More information about ESPERANZA HEALTH SYSTEMS, LTD DBA LA HACIENDA TREATMENT CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01ART VANDIVER
5022016-01-01ART VANDIVER
5022015-01-01ART VANDIVER
5022014-01-01ART VANDIVER
5022013-01-01ART VANDIVIER ART VANDIVIER2014-10-07
5022012-01-01ART VANDIVIER ART VANDIVIER2013-10-01
5022011-01-01ART VANDIVIER ART VANDIVIER2012-10-15
5022009-01-01ART VANDIVIER ART VANDIVIER2010-10-14

Plan Statistics for LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN

401k plan membership statisitcs for LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN

Measure Date Value
2020: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01185
Total number of active participants reported on line 7a of the Form 55002020-01-010
Total of all active and inactive participants2020-01-010
2019: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01180
Total number of active participants reported on line 7a of the Form 55002019-01-01185
Total of all active and inactive participants2019-01-01185
2018: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01190
Total number of active participants reported on line 7a of the Form 55002018-01-01180
Total of all active and inactive participants2018-01-01180
2017: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01181
Total number of active participants reported on line 7a of the Form 55002017-01-01190
Total of all active and inactive participants2017-01-01190
2016: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01185
Total number of active participants reported on line 7a of the Form 55002016-01-01181
Total of all active and inactive participants2016-01-01181
2015: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01176
Total number of active participants reported on line 7a of the Form 55002015-01-01185
Total of all active and inactive participants2015-01-01185
2014: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01176
Total number of active participants reported on line 7a of the Form 55002014-01-01176
Total of all active and inactive participants2014-01-01176
2013: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01176
Total number of active participants reported on line 7a of the Form 55002013-01-01176
Total of all active and inactive participants2013-01-01176
2012: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01190
Total number of active participants reported on line 7a of the Form 55002012-01-01176
Total of all active and inactive participants2012-01-01176
2011: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01189
Total number of active participants reported on line 7a of the Form 55002011-01-01190
Total of all active and inactive participants2011-01-01190
2009: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01171
Total number of active participants reported on line 7a of the Form 55002009-01-01184
Total of all active and inactive participants2009-01-01184
Number of employers contributing to the scheme2009-01-012

Form 5500 Responses for LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN

2020: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: LA HACIENDA TREATMENT CENTER EMPLOYEE INJURY BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered0
Insurance policy start date2019-07-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $4,945
Total amount of fees paid to insurance companyUSD $3,171
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $51,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,945
Amount paid for insurance broker fees3171
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered185
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $5,664
Total amount of fees paid to insurance companyUSD $3,564
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $75,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,664
Amount paid for insurance broker fees3564
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered180
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $5,383
Total amount of fees paid to insurance companyUSD $2,910
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $61,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,383
Amount paid for insurance broker fees2910
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered190
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $6,275
Total amount of fees paid to insurance companyUSD $2,948
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $61,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,275
Amount paid for insurance broker fees2948
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameCOMBINED INDEPENDENT AGENCIES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered185
Insurance policy start date2014-07-01
Insurance policy end date2015-07-01
Total amount of commissions paid to insurance brokerUSD $5,206
Total amount of fees paid to insurance companyUSD $2,744
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $58,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,206
Amount paid for insurance broker fees2744
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameCOMBINED INDEPENDENT AGENCIES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered176
Insurance policy start date2013-07-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $5,148
Total amount of fees paid to insurance companyUSD $2,598
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $55,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,148
Amount paid for insurance broker fees2598
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameCOMBINED INDEPENDENT AGENCIES
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered176
Insurance policy start date2013-07-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $5,264
Total amount of fees paid to insurance companyUSD $2,521
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $46,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,264
Amount paid for insurance broker fees2521
Additional information about fees paid to insurance brokerSTAMPING FEES
Insurance broker organization code?3
Insurance broker nameCOMBINED INDEPENDENT AGENCIES INC
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered190
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $5,290
Total amount of fees paid to insurance companyUSD $2,544
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $46,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,290
Amount paid for insurance broker fees2544
Additional information about fees paid to insurance brokerSTAMPING FEES
Insurance broker organization code?3
Insurance broker nameCOMBINED INDEPENDENT AGENCIES INC
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $5,290
Total amount of fees paid to insurance companyUSD $2,544
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $46,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 25038 )
Policy contract numberEEG005026
Policy instance 1
Insurance contract or identification numberEEG005026
Number of Individuals Covered189
Insurance policy start date2010-07-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $9,535
Total amount of fees paid to insurance companyUSD $4,991
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedLIABILITY, MEDICAL, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $43,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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