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THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameTHIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN
Plan identification number 501

THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

THIBODAUX REGIONAL HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:THIBODAUX REGIONAL HEALTH SYSTEM
Employer identification number (EIN):842046902
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01CASEY PELTIER2024-09-24
5012022-01-01CASEY PELTIER2023-07-24
5012021-01-01CASEY PELTIER2022-07-24
5012020-01-01CASEY PELTIER2021-10-15
5012020-01-01CASEY PELTIER2022-07-24
5012019-10-01CASEY PELTIER2020-10-09

Plan Statistics for THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN

Measure Date Value
2023: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011,062
Total number of active participants reported on line 7a of the Form 55002023-01-01993
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01993
Number of employers contributing to the scheme2023-01-010
2022: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,092
Total number of active participants reported on line 7a of the Form 55002022-01-011,062
Number of retired or separated participants receiving benefits2022-01-016
Number of other retired or separated participants entitled to future benefits2022-01-0130
Total of all active and inactive participants2022-01-011,098
Number of employers contributing to the scheme2022-01-010
2021: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,026
Total number of active participants reported on line 7a of the Form 55002021-01-011,080
Number of retired or separated participants receiving benefits2021-01-019
Number of other retired or separated participants entitled to future benefits2021-01-0112
Total of all active and inactive participants2021-01-011,101
Number of employers contributing to the scheme2021-01-010
2020: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01979
Total number of active participants reported on line 7a of the Form 55002020-01-011,022
Number of retired or separated participants receiving benefits2020-01-019
Number of other retired or separated participants entitled to future benefits2020-01-0122
Total of all active and inactive participants2020-01-011,053
Number of employers contributing to the scheme2020-01-010
2019: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01990
Total number of active participants reported on line 7a of the Form 55002019-10-01978
Number of retired or separated participants receiving benefits2019-10-019
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01987

Form 5500 Responses for THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN

2023: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: THIBODAUX REGIONAL HEALTH SYSTEM EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number041898
Policy instance 1
Insurance contract or identification number041898
Number of Individuals Covered385
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $37,686
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $191,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number760762
Policy instance 2
Insurance contract or identification number760762
Number of Individuals Covered993
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $120,128
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number760762
Policy instance 1
Insurance contract or identification number760762
Number of Individuals Covered328
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $132,069
Total amount of fees paid to insurance companyUSD $8,155
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $212,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number760762
Policy instance 2
Insurance contract or identification number760762
Number of Individuals Covered1052
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $108,908
Total amount of fees paid to insurance companyUSD $48,707
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number211226
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30055256
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number211226
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number211226
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30055256
Policy instance 2

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