401k Plan data: BAPTIST HEALTH FLOYD MEDICAL PLAN plan

BAPTIST HEALTH FLOYD MEDICAL PLAN 401k Plan overview

Plan Name	BAPTIST HEALTH FLOYD MEDICAL PLAN
Plan identification number	525

BAPTIST HEALTH FLOYD MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

BAPTIST HEALTHCARE SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: BAPTIST HEALTHCARE SYSTEM, INC.

Employer identification number (EIN): 610444707

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAPTIST HEALTH FLOYD MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
525 2018-01-01

Plan Statistics for BAPTIST HEALTH FLOYD MEDICAL PLAN

401k plan membership statisitcs for BAPTIST HEALTH FLOYD MEDICAL PLAN

Measure Date Value
2018: BAPTIST HEALTH FLOYD MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,758
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,758
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 1,758
Total participants 2018-01-01 1,758

Measure	Date	Value
2018: BAPTIST HEALTH FLOYD MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,758
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,758
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	1,758
Total participants	2018-01-01	1,758

Form 5500 Responses for BAPTIST HEALTH FLOYD MEDICAL PLAN

2018: BAPTIST HEALTH FLOYD MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )

Policy contract number

578654

Policy instance

Insurance contract or identification number	578654
Number of Individuals Covered	1758
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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 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	Yes
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
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
Amount paid for insurance broker fees	14527
Additional information about fees paid to insurance broker	COMMISSION - BONUS
Insurance broker organization code?	3

Potentially related plans

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Company Name:	BAPTIST HEALTHCARE SYSTEM, INC.
Employer identification number (EIN):	610444707
NAIC Classification:	622000
NAIC Description:	Hospitals