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BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 401k Plan overview

Plan NameBAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST
Plan identification number 502

BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Other welfare benefit cover

401k Sponsoring company profile

BAYOU HEALTH CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name:BAYOU HEALTH CARE, LLC
Employer identification number (EIN):721472188
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-01-01BYRON ELSAS
5022014-01-01ANNA TURNER
5022013-01-01ANNA TURNER

Plan Statistics for BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST

401k plan membership statisitcs for BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST

Measure Date Value
2015: BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-010
Total number of active participants reported on line 7a of the Form 55002015-01-010
Total of all active and inactive participants2015-01-010
2014: BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total number of active participants reported on line 7a of the Form 55002014-01-010
Total of all active and inactive participants2014-01-010
2013: BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0146
Total number of active participants reported on line 7a of the Form 55002013-01-0130
Total of all active and inactive participants2013-01-0130

Financial Data on BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST

Measure Date Value
2015 : BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2015 401k financial data
Transfers to/from the plan2015-04-15$-8,284
Total plan assets at end of year2015-04-15$0
Total plan assets at beginning of year2015-04-15$8,284
Net plan assets at end of year (total assets less liabilities)2015-04-15$0
Net plan assets at beginning of year (total assets less liabilities)2015-04-15$8,284
2014 : BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2014 401k financial data
Total income from all sources2014-12-31$5,802
Expenses. Total of all expenses incurred2014-12-31$13,788
Benefits paid (including direct rollovers)2014-12-31$7,971
Total plan assets at end of year2014-12-31$8,284
Total plan assets at beginning of year2014-12-31$16,270
Expenses. Other expenses not covered elsewhere2014-12-31$5,817
Net income (gross income less expenses)2014-12-31$-7,986
Net plan assets at end of year (total assets less liabilities)2014-12-31$8,284
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$16,270
Total contributions received or receivable from employer(s)2014-12-31$5,802
2013 : BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2013 401k financial data
Total income from all sources2013-12-31$434,167
Expenses. Total of all expenses incurred2013-12-31$417,897
Benefits paid (including direct rollovers)2013-12-31$377,669
Total plan assets at end of year2013-12-31$16,270
Total plan assets at beginning of year2013-12-31$0
Expenses. Other expenses not covered elsewhere2013-12-31$40,228
Other income received2013-12-31$33,076
Net income (gross income less expenses)2013-12-31$16,270
Net plan assets at end of year (total assets less liabilities)2013-12-31$16,270
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$401,091

Form 5500 Responses for BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST

2015: BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01This submission is the final filingYes
2015-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BAYOU HEALTHCARE, LLC DBA CROSSROADS REGIONAL HOSPITAL EMPLOYEE BENEFIT PLAN & TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITED CONCORDIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,176
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,176
Insurance broker organization code?5
Insurance broker nameIMA, INC.
PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 2
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,460
Total amount of fees paid to insurance companyUSD $13,699
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLIANCE
Welfare Benefit Premiums Paid to CarrierUSD $70,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,460
Amount paid for insurance broker fees13699
Additional information about fees paid to insurance brokerTHIRD PARTY ADMIN FEES
Insurance broker organization code?5
Insurance broker nameIMA, INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberNOT AVAILABLE
Policy instance 3
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $968
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $968
Insurance broker organization code?5
Insurance broker nameIMA, INC.
IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 5
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-13
Total amount of commissions paid to insurance brokerUSD $702
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedHEALTH BENEFIT MANAGEMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $702
Insurance broker organization code?5
Insurance broker nameIMA, INC.
VERITY HEALTHNET (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 4
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $468
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $3,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $468
Insurance broker organization code?5
Insurance broker nameIMA, INC.
IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 6
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $257
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedPRECERTIFICATION
Welfare Benefit Premiums Paid to CarrierUSD $1,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $257
Insurance broker organization code?5
Insurance broker nameIMA, INC.

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