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VISION PLAN 401k Plan overview

Plan NameVISION PLAN
Plan identification number 502

VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

THIBODAUX REGIONAL HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:THIBODAUX REGIONAL HEALTH SYSTEM
Employer identification number (EIN):842046902
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-01-01CASEY PELTIER2021-10-15
5022020-01-01CASEY PELTIER2022-07-30

Plan Statistics for VISION PLAN

401k plan membership statisitcs for VISION PLAN

Measure Date Value
2020: VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01551
Total number of active participants reported on line 7a of the Form 55002020-01-01557
Number of retired or separated participants receiving benefits2020-01-017
Number of other retired or separated participants entitled to future benefits2020-01-019
Total of all active and inactive participants2020-01-01573
Number of employers contributing to the scheme2020-01-010

Form 5500 Responses for VISION PLAN

2020: VISION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30055256
Policy instance 1
Insurance contract or identification number30055256
Number of Individuals Covered569
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $8,247
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,247
Amount paid for insurance broker fees0
Insurance broker organization code?3

Potentially related plans

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