401k Plan data: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN plan

LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN
Plan identification number	505

LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

LAFAYETTE GENERAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: LAFAYETTE GENERAL MEDICAL CENTER

Employer identification number (EIN): 720535375

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2013-01-01 SHEENA MITCHELL PATRICK GANDY 2014-09-16
505 2012-01-01 SHEENA MITCHELL PATRICK GANDY 2013-10-07
505 2011-01-01 SHEENA MITCHELL PATRICK GANDY 2012-09-21
505 2009-01-01 WENDY ALEXANDER
505 2009-01-01 WENDY ALEXANDER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2013-01-01	SHEENA MITCHELL	PATRICK GANDY	2014-09-16
505	2012-01-01	SHEENA MITCHELL	PATRICK GANDY	2013-10-07
505	2011-01-01	SHEENA MITCHELL	PATRICK GANDY	2012-09-21
505	2009-01-01	WENDY ALEXANDER
505	2009-01-01	WENDY ALEXANDER

Plan Statistics for LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN

401k plan membership statisitcs for LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN

Measure Date Value
2013: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,544
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,553
Total of all active and inactive participants 2013-01-01 2,553
2012: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,462
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,544
Number of retired or separated participants receiving benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1,544
2011: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,244
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,447
Number of retired or separated participants receiving benefits 2011-01-01 15
Total of all active and inactive participants 2011-01-01 1,462
Total participants 2011-01-01 1,462
2009: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,648
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,166
Number of retired or separated participants receiving benefits 2009-01-01 35
Total of all active and inactive participants 2009-01-01 1,201
Total participants 2009-01-01 1,201

Measure	Date	Value
2013: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,544
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,553
Total of all active and inactive participants	2013-01-01	2,553
2012: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,462
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,544
Number of retired or separated participants receiving benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1,544
2011: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,244
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,447
Number of retired or separated participants receiving benefits	2011-01-01	15
Total of all active and inactive participants	2011-01-01	1,462
Total participants	2011-01-01	1,462
2009: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,648
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,166
Number of retired or separated participants receiving benefits	2009-01-01	35
Total of all active and inactive participants	2009-01-01	1,201
Total participants	2009-01-01	1,201

Form 5500 Responses for LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN

2013: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: LOUISIANA HEALTH SYSTEM CORPORATION WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	LAFAYETTE GENERAL MEDICAL CENTER
Employer identification number (EIN):	720535375
NAIC Classification:	622000
NAIC Description:	Hospitals