401k Plan data: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN plan

BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 401k Plan overview

Plan Name	BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN
Plan identification number	511

BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name: BON SECOURS MERCY HEALTH, INC.

Employer identification number (EIN): 521301088

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2019-09-01 NICOLE MARTEL 2021-09-21 NICOLE MARTEL 2021-09-21
511 2018-09-01 NICOLE MARTEL 2021-09-27 NICOLE MARTEL 2021-09-27
511 2017-09-01
511 2016-09-01 TIMOTHY DAVIS TIMOTHY DAVIS 2018-07-13
511 2015-09-01 TIMOTHY DAVIS TIMOTHY DAVIS 2017-07-13
511 2014-09-01 TIMOTHY DAVIS TIMOTHY DAVIS 2016-06-29
511 2013-09-01 TIMOTHY DAVIS TIMOTHY DAVIS 2015-02-18
511 2012-09-01 TIMOTHY DAVIS TIMOTHY DAVIS 2014-03-27
511 2011-09-01 TIMOTHY J. DAVIS TIMOTHY J. DAVIS 2013-03-07
511 2010-09-01 TIMOTHY J. DAVIS
511 2009-09-01 TIMOTHY J. DAVIS TIMOTHY J. DAVIS 2011-03-14
511 2009-01-01 TIM DAVIS TIM DAVIS 2010-04-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
511	2019-09-01	NICOLE MARTEL	2021-09-21	NICOLE MARTEL	2021-09-21
511	2018-09-01	NICOLE MARTEL	2021-09-27	NICOLE MARTEL	2021-09-27
511	2017-09-01
511	2016-09-01	TIMOTHY DAVIS		TIMOTHY DAVIS	2018-07-13
511	2015-09-01	TIMOTHY DAVIS		TIMOTHY DAVIS	2017-07-13
511	2014-09-01	TIMOTHY DAVIS		TIMOTHY DAVIS	2016-06-29
511	2013-09-01	TIMOTHY DAVIS		TIMOTHY DAVIS	2015-02-18
511	2012-09-01	TIMOTHY DAVIS		TIMOTHY DAVIS	2014-03-27
511	2011-09-01	TIMOTHY J. DAVIS		TIMOTHY J. DAVIS	2013-03-07
511	2010-09-01	TIMOTHY J. DAVIS
511	2009-09-01	TIMOTHY J. DAVIS		TIMOTHY J. DAVIS	2011-03-14
511	2009-01-01	TIM DAVIS		TIM DAVIS	2010-04-12

Plan Statistics for BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN

401k plan membership statisitcs for BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN

Measure Date Value
2019: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 15,027
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 14,195
Number of retired or separated participants receiving benefits 2019-09-01 253
Total of all active and inactive participants 2019-09-01 14,448
Total participants 2019-09-01 14,448
2018: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 16,382
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 14,800
Number of retired or separated participants receiving benefits 2018-09-01 227
Total of all active and inactive participants 2018-09-01 15,027
Total participants 2018-09-01 15,027
2017: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 16,155
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 15,920
Number of retired or separated participants receiving benefits 2017-09-01 462
Total of all active and inactive participants 2017-09-01 16,382
Total participants 2017-09-01 16,382
2016: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 15,618
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 15,817
Number of retired or separated participants receiving benefits 2016-09-01 338
Total of all active and inactive participants 2016-09-01 16,155
Total participants 2016-09-01 16,155
2015: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 15,145
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 15,466
Number of retired or separated participants receiving benefits 2015-09-01 152
Total of all active and inactive participants 2015-09-01 15,618
Total participants 2015-09-01 15,618
2014: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 14,854
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 14,973
Number of retired or separated participants receiving benefits 2014-09-01 172
Total of all active and inactive participants 2014-09-01 15,145
Total participants 2014-09-01 15,145
2013: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 14,296
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 14,719
Number of retired or separated participants receiving benefits 2013-09-01 135
Total of all active and inactive participants 2013-09-01 14,854
Total participants 2013-09-01 14,854
2012: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 14,282
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 14,161
Number of retired or separated participants receiving benefits 2012-09-01 135
Total of all active and inactive participants 2012-09-01 14,296
Total participants 2012-09-01 14,296
2011: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 14,236
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 14,012
Number of retired or separated participants receiving benefits 2011-09-01 270
Total of all active and inactive participants 2011-09-01 14,282
2010: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-09-01 13,372
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 14,023
Number of retired or separated participants receiving benefits 2010-09-01 213
Number of other retired or separated participants entitled to future benefits 2010-09-01 0
Total of all active and inactive participants 2010-09-01 14,236
2009: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 12,815
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 13,129
Number of retired or separated participants receiving benefits 2009-09-01 243
Number of other retired or separated participants entitled to future benefits 2009-09-01 0
Total of all active and inactive participants 2009-09-01 13,372
Total participants, beginning-of-year 2009-01-01 12,784
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12,563
Number of retired or separated participants receiving benefits 2009-01-01 252
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 12,815

Measure	Date	Value
2019: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	15,027
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	14,195
Number of retired or separated participants receiving benefits	2019-09-01	253
Total of all active and inactive participants	2019-09-01	14,448
Total participants	2019-09-01	14,448
2018: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	16,382
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	14,800
Number of retired or separated participants receiving benefits	2018-09-01	227
Total of all active and inactive participants	2018-09-01	15,027
Total participants	2018-09-01	15,027
2017: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	16,155
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	15,920
Number of retired or separated participants receiving benefits	2017-09-01	462
Total of all active and inactive participants	2017-09-01	16,382
Total participants	2017-09-01	16,382
2016: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	15,618
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	15,817
Number of retired or separated participants receiving benefits	2016-09-01	338
Total of all active and inactive participants	2016-09-01	16,155
Total participants	2016-09-01	16,155
2015: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	15,145
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	15,466
Number of retired or separated participants receiving benefits	2015-09-01	152
Total of all active and inactive participants	2015-09-01	15,618
Total participants	2015-09-01	15,618
2014: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	14,854
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	14,973
Number of retired or separated participants receiving benefits	2014-09-01	172
Total of all active and inactive participants	2014-09-01	15,145
Total participants	2014-09-01	15,145
2013: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	14,296
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	14,719
Number of retired or separated participants receiving benefits	2013-09-01	135
Total of all active and inactive participants	2013-09-01	14,854
Total participants	2013-09-01	14,854
2012: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	14,282
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	14,161
Number of retired or separated participants receiving benefits	2012-09-01	135
Total of all active and inactive participants	2012-09-01	14,296
Total participants	2012-09-01	14,296
2011: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	14,236
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	14,012
Number of retired or separated participants receiving benefits	2011-09-01	270
Total of all active and inactive participants	2011-09-01	14,282
2010: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-09-01	13,372
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	14,023
Number of retired or separated participants receiving benefits	2010-09-01	213
Number of other retired or separated participants entitled to future benefits	2010-09-01	0
Total of all active and inactive participants	2010-09-01	14,236
2009: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	12,815
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	13,129
Number of retired or separated participants receiving benefits	2009-09-01	243
Number of other retired or separated participants entitled to future benefits	2009-09-01	0
Total of all active and inactive participants	2009-09-01	13,372
Total participants, beginning-of-year	2009-01-01	12,784
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12,563
Number of retired or separated participants receiving benefits	2009-01-01	252
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	12,815

Form 5500 Responses for BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN

2019: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Submission has been amended	No
2017-09-01	This submission is the final filing	No
2017-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-09-01	Plan is a collectively bargained plan	No
2017-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Submission has been amended	No
2016-09-01	This submission is the final filing	No
2016-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-09-01	Plan is a collectively bargained plan	No
2016-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Submission has been amended	No
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	Submission has been amended	No
2010-09-01	This submission is the final filing	No
2010-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-09-01	Plan is a collectively bargained plan	No
2010-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BON SECOURS HEALTH SYSTEM, INC. DENTAL PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	BON SECOURS MERCY HEALTH, INC.
Employer identification number (EIN):	521301088
NAIC Classification:	622000
NAIC Description:	Hospitals