401k Plan data: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN plan

LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 401k Plan overview

Plan Name	LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN
Plan identification number	505

LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance) Other welfare benefit cover

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 ASSISTANCE PROGRAM BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2014-01-01 ARTHUR VANDIVIER
505 2013-01-01 ART VANDIVER ART VANDIVER 2014-10-07
505 2012-01-01 ART VANDIVER ART VANDIVER 2013-10-10
505 2011-01-01 ART VANDIVER ART VANDIVER 2012-10-15
505 2009-01-01 ART VANDIVER ART VANDIVER 2010-10-08

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2014-01-01	ARTHUR VANDIVIER
505	2013-01-01	ART VANDIVER	ART VANDIVER	2014-10-07
505	2012-01-01	ART VANDIVER	ART VANDIVER	2013-10-10
505	2011-01-01	ART VANDIVER	ART VANDIVER	2012-10-15
505	2009-01-01	ART VANDIVER	ART VANDIVER	2010-10-08

Plan Statistics for LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN

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

Measure Date Value
2014: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
2013: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 158
Total of all active and inactive participants 2013-01-01 158
2012: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 172
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 166
Total of all active and inactive participants 2012-01-01 166
2011: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 172
Total of all active and inactive participants 2011-01-01 172
2009: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 166
Total of all active and inactive participants 2009-01-01 166
Number of employers contributing to the scheme 2009-01-01 2

Measure	Date	Value
2014: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
2013: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	158
Total of all active and inactive participants	2013-01-01	158
2012: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	172
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	166
Total of all active and inactive participants	2012-01-01	166
2011: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	172
Total of all active and inactive participants	2011-01-01	172
2009: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	166
Total of all active and inactive participants	2009-01-01	166
Number of employers contributing to the scheme	2009-01-01	2

Form 5500 Responses for LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN

2014: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Multi-employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Multi-employer plan
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Multi-employer plan
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: LA HACIENDA TREATMENT CENTER EMPLOYEE ASSISTANCE PROGRAM BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Multi-employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

INTERFACE EAP (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

00000000

Policy instance

Insurance contract or identification number	00000000
Number of Individuals Covered	157
Insurance policy start date	2014-01-01
Insurance policy end date	2014-10-31
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $7,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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

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