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BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 501

BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE 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)
  • Other welfare benefit cover

401k Sponsoring company profile

BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC has sponsored the creation of one or more 401k plans.

Company Name:BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Employer identification number (EIN):640922184
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01ALISON VANDERZEE2024-10-11
5012022-01-01
5012022-01-01MALLORIE FONDREN
5012021-01-01
5012021-01-01MALLORIE FONDREN
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01DEAN THIGPEN DEAN THIGPEN2018-10-12
5012016-01-01DR. ALEXANDER BLEVENS DR. ALEXANDER BLEVENS2017-09-14
5012015-01-01DR. ALEXANDER BLEVENS DR. ALEXANDER BLEVENS2016-10-13
5012014-01-01DR. ALEXANDER BLEVENS DR. ALEXANDER BLEVENS2015-10-15
5012013-01-01DR. ALEXANDER BLEVENS DR. ALEXANDER BLEVENS2015-05-08
5012012-01-01DR. ALEXANDER BLEVENS DR. ALEXANDER BLEVENS2013-10-15

Financial Data on BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2022 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$1,952,336
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,269,354
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,229,495
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,952,336
Value of total assets at end of year2022-12-31$282,628
Value of total assets at beginning of year2022-12-31$599,646
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$39,859
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$330,127
Participant contributions at end of year2022-12-31$14,759
Participant contributions at beginning of year2022-12-31$11,947
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$89,530
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$316,814
Total non interest bearing cash at end of year2022-12-31$126,341
Total non interest bearing cash at beginning of year2022-12-31$123,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-317,018
Value of net assets at end of year (total assets less liabilities)2022-12-31$282,628
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$599,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$291,093
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,622,209
Employer contributions (assets) at end of year2022-12-31$51,998
Employer contributions (assets) at beginning of year2022-12-31$147,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,938,402
Contract administrator fees2022-12-31$39,859
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MYERS & ASSOCIATES, PLLC
Accountancy firm EIN2022-12-31301220509
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$1,952,336
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$2,269,354
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$2,229,495
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$1,952,336
Value of total assets at end of year2022-01-01$282,628
Value of total assets at beginning of year2022-01-01$599,646
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$39,859
Total interest from all sources2022-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2022-01-01$0
Was this plan covered by a fidelity bond2022-01-01No
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$330,127
Participant contributions at end of year2022-01-01$14,759
Participant contributions at beginning of year2022-01-01$11,947
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$89,530
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$316,814
Total non interest bearing cash at end of year2022-01-01$126,341
Total non interest bearing cash at beginning of year2022-01-01$123,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-317,018
Value of net assets at end of year (total assets less liabilities)2022-01-01$282,628
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$599,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$291,093
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$1,622,209
Employer contributions (assets) at end of year2022-01-01$51,998
Employer contributions (assets) at beginning of year2022-01-01$147,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$1,938,402
Contract administrator fees2022-01-01$39,859
Did the plan have assets held for investment2022-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01MYERS & ASSOCIATES, PLLC
Accountancy firm EIN2022-01-01301220509
2021 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,855,123
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,470,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,420,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,855,123
Value of total assets at end of year2021-12-31$599,646
Value of total assets at beginning of year2021-12-31$214,591
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$49,804
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$301,627
Participant contributions at end of year2021-12-31$11,947
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$316,814
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$167,048
Total non interest bearing cash at end of year2021-12-31$123,305
Total non interest bearing cash at beginning of year2021-12-31$37,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$385,055
Value of net assets at end of year (total assets less liabilities)2021-12-31$599,646
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$214,591
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$388,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,553,496
Employer contributions (assets) at end of year2021-12-31$147,580
Employer contributions (assets) at beginning of year2021-12-31$9,986
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,031,711
Contract administrator fees2021-12-31$49,804
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MYERS & ASSOCIATES, PLLC
Accountancy firm EIN2021-12-31301220509
2020 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,634,999
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,633,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,583,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,634,999
Value of total assets at end of year2020-12-31$214,591
Value of total assets at beginning of year2020-12-31$213,070
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$50,265
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$275,545
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$167,048
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$108,733
Administrative expenses (other) incurred2020-12-31$36
Total non interest bearing cash at end of year2020-12-31$37,557
Total non interest bearing cash at beginning of year2020-12-31$3,038
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,521
Value of net assets at end of year (total assets less liabilities)2020-12-31$214,591
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$213,070
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$394,510
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,359,454
Employer contributions (assets) at end of year2020-12-31$9,986
Employer contributions (assets) at beginning of year2020-12-31$101,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,188,703
Contract administrator fees2020-12-31$50,229
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MYERS & ASSOCIATES, PLLC
Accountancy firm EIN2020-12-31301220509
2019 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,565,622
Total income from all sources (including contributions)2019-12-31$1,565,622
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,579,626
Total of all expenses incurred2019-12-31$1,579,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,532,876
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,532,876
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,565,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,565,622
Value of total assets at end of year2019-12-31$213,070
Value of total assets at end of year2019-12-31$213,070
Value of total assets at beginning of year2019-12-31$227,074
Value of total assets at beginning of year2019-12-31$227,074
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$46,750
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$46,750
Total interest from all sources2019-12-31$0
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$295,381
Contributions received from participants2019-12-31$295,381
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$108,733
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$108,733
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$82,182
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$82,182
Total non interest bearing cash at end of year2019-12-31$3,038
Total non interest bearing cash at end of year2019-12-31$3,038
Total non interest bearing cash at beginning of year2019-12-31$144,892
Total non interest bearing cash at beginning of year2019-12-31$144,892
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-14,004
Value of net income/loss2019-12-31$-14,004
Value of net assets at end of year (total assets less liabilities)2019-12-31$213,070
Value of net assets at end of year (total assets less liabilities)2019-12-31$213,070
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$227,074
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$227,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$46,750
Investment advisory and management fees2019-12-31$46,750
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$452,787
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$452,787
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,270,241
Contributions received in cash from employer2019-12-31$1,270,241
Employer contributions (assets) at end of year2019-12-31$101,299
Employer contributions (assets) at end of year2019-12-31$101,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,080,089
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,080,089
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MYERS & ASSOCIATES, PLLC
Accountancy firm name2019-12-31MYERS & ASSOCIATES, PLLC
Accountancy firm EIN2019-12-31301220509
Accountancy firm EIN2019-12-31301220509
2018 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$1,214,474
Total of all expenses incurred2018-12-31$1,155,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,115,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,214,474
Value of total assets at end of year2018-12-31$227,074
Value of total assets at beginning of year2018-12-31$168,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$40,530
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$262,909
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$82,182
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$79,058
Total non interest bearing cash at end of year2018-12-31$144,892
Total non interest bearing cash at beginning of year2018-12-31$21,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$58,536
Value of net assets at end of year (total assets less liabilities)2018-12-31$227,074
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$168,538
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$386,255
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$951,565
Employer contributions (assets) at beginning of year2018-12-31$67,763
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$729,153
Contract administrator fees2018-12-31$40,530
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31CULUMBER, HARVEY & ASSOCIATES, P.A.
Accountancy firm EIN2018-12-31204368459
2017 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,186,773
Total of all expenses incurred2017-12-31$1,114,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,073,211
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,186,773
Value of total assets at end of year2017-12-31$168,538
Value of total assets at beginning of year2017-12-31$96,319
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$41,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$190,875
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$79,058
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$25,101
Total non interest bearing cash at end of year2017-12-31$21,717
Total non interest bearing cash at beginning of year2017-12-31$10,014
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$72,219
Value of net assets at end of year (total assets less liabilities)2017-12-31$168,538
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$96,319
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$372,823
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$995,898
Employer contributions (assets) at end of year2017-12-31$67,763
Employer contributions (assets) at beginning of year2017-12-31$61,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$700,388
Contract administrator fees2017-12-31$41,343
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31CULUMBER, HARVEY & ASSOCIATES, P.A.
Accountancy firm EIN2017-12-31204368459
2016 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$928,109
Total of all expenses incurred2016-12-31$940,459
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$902,865
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$928,109
Value of total assets at end of year2016-12-31$96,319
Value of total assets at beginning of year2016-12-31$108,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$37,594
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$201,129
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$25,101
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$40,405
Total non interest bearing cash at end of year2016-12-31$10,014
Total non interest bearing cash at beginning of year2016-12-31$54,960
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-12,350
Value of net assets at end of year (total assets less liabilities)2016-12-31$96,319
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$108,669
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$289,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$726,980
Employer contributions (assets) at end of year2016-12-31$61,204
Employer contributions (assets) at beginning of year2016-12-31$13,304
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$613,072
Contract administrator fees2016-12-31$37,594
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CULUMBER, HARVEY & ASSOCIATES, P.A.
Accountancy firm EIN2016-12-31204368459
2015 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$701,133
Total of all expenses incurred2015-12-31$721,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$682,461
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$701,133
Value of total assets at end of year2015-12-31$108,669
Value of total assets at beginning of year2015-12-31$128,799
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$38,802
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$181,727
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$40,405
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$2,972
Total non interest bearing cash at end of year2015-12-31$54,960
Total non interest bearing cash at beginning of year2015-12-31$32,247
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-20,130
Value of net assets at end of year (total assets less liabilities)2015-12-31$108,669
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$128,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$263,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$519,406
Employer contributions (assets) at end of year2015-12-31$13,304
Employer contributions (assets) at beginning of year2015-12-31$93,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$419,079
Contract administrator fees2015-12-31$38,802
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31CULUMBER, HARVEY & ASSOCIATES, P.A.
Accountancy firm EIN2015-12-31204368459
2014 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,213,183
Total of all expenses incurred2014-12-31$1,157,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,113,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,213,183
Value of total assets at end of year2014-12-31$128,799
Value of total assets at beginning of year2014-12-31$73,265
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$43,800
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$200,787
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$2,972
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,159
Total non interest bearing cash at end of year2014-12-31$32,247
Total non interest bearing cash at beginning of year2014-12-31$70,106
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$55,534
Value of net assets at end of year (total assets less liabilities)2014-12-31$128,799
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$73,265
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$246,990
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,012,396
Employer contributions (assets) at end of year2014-12-31$93,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$866,859
Contract administrator fees2014-12-31$43,800
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31CULUMBER, HARVEY & ASSOCIATES, P.A.
Accountancy firm EIN2014-12-31204368459
2013 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$783,800
Total of all expenses incurred2013-12-31$851,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$816,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$783,800
Value of total assets at end of year2013-12-31$73,265
Value of total assets at beginning of year2013-12-31$141,314
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$35,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$197,426
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,159
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$65,425
Total non interest bearing cash at end of year2013-12-31$70,106
Total non interest bearing cash at beginning of year2013-12-31$75,889
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-68,049
Value of net assets at end of year (total assets less liabilities)2013-12-31$73,265
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$141,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$247,067
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$586,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$569,054
Contract administrator fees2013-12-31$35,728
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31CULUMBER, HARVEY & ASSOCIATES, P.A.
Accountancy firm EIN2013-12-31204368459
2012 : BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-12-31$95,008
Total income from all sources2012-12-31$887,209
Expenses. Total of all expenses incurred2012-12-31$925,464
Benefits paid (including direct rollovers)2012-12-31$892,327
Total plan assets at end of year2012-12-31$141,314
Total plan assets at beginning of year2012-12-31$274,577
Total contributions received or receivable from participants2012-12-31$137,740
Net income (gross income less expenses)2012-12-31$-38,255
Net plan assets at end of year (total assets less liabilities)2012-12-31$141,314
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$179,569
Total contributions received or receivable from employer(s)2012-12-31$749,469
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$33,137

Form 5500 Responses for BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN

2023: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE 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: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
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: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
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: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: BIENVILLE ORTHOPAEDIC SPECIALISTS HEALTH AND WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number246301
Policy instance 2
Insurance contract or identification number246301
Number of Individuals Covered2229
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $218,716
Total amount of fees paid to insurance companyUSD $14,090
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT,CRITICAL ILLNESS,ACCIDENT,HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $1,293,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number767841G
Policy instance 1
Insurance contract or identification number767841G
Number of Individuals Covered282
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $29,489
Total amount of fees paid to insurance companyUSD $3,413
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $201,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 )
Policy contract numberRSL106921
Policy instance 2
Insurance contract or identification numberRSL106921
Number of Individuals Covered187
Insurance policy start date2022-05-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $40,800
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $272,000
SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 )
Policy contract numberRSL106920
Policy instance 1
Insurance contract or identification numberRSL106920
Number of Individuals Covered182
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $57,127
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $380,846
SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 )
Policy contract numberRSL101420
Policy instance 1
IRONSHORE INDEMNITY INC. (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR000005-07
Policy instance 1
IRONSHORE INDEMNITY INC. (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR000000005-05
Policy instance 1
IRONSHORE INDEMNITY INC. (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR000000005-05
Policy instance 1
IRONSHORE INDEMNITY INC. (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR000000005-04
Policy instance 1
IRONSHORE INDEMNITY INC. (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR000000005-02
Policy instance 1
IRONSHORE INSURANCE SERVICES (National Association of Insurance Commissioners NAIC id number: 23647 )
Policy contract numberERR000000005-01
Policy instance 1
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberAJS00329-11
Policy instance 1
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18394
Policy instance 1

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