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CASSIA HEALTH PLAN 401k Plan overview

Plan NameCASSIA HEALTH PLAN
Plan identification number 511

CASSIA HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

CASSIA has sponsored the creation of one or more 401k plans.

Company Name:CASSIA
Employer identification number (EIN):831758728
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASSIA HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112022-01-01JILL KUECHLE2023-07-21
5112021-01-01TERI BERNDT2022-07-07
5112020-01-01TERI BERNDT2021-05-25

Plan Statistics for CASSIA HEALTH PLAN

401k plan membership statisitcs for CASSIA HEALTH PLAN

Measure Date Value
2022: CASSIA HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,670
Total number of active participants reported on line 7a of the Form 55002022-01-011,603
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,603
Number of employers contributing to the scheme2022-01-010
2021: CASSIA HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,671
Total number of active participants reported on line 7a of the Form 55002021-01-011,609
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,609
Number of employers contributing to the scheme2021-01-010
2020: CASSIA HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,553
Total number of active participants reported on line 7a of the Form 55002020-01-011,671
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,671
Number of employers contributing to the scheme2020-01-010

Form 5500 Responses for CASSIA HEALTH PLAN

2022: CASSIA HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CASSIA HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: CASSIA HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number10484067
Policy instance 1
Insurance contract or identification number10484067
Number of Individuals Covered2934
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $234,418
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,694,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $234,418
Amount paid for insurance broker fees0
Insurance broker organization code?3
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number10484067
Policy instance 1
Insurance contract or identification number10484067
Number of Individuals Covered2995
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $209,377
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,032,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $209,377
Amount paid for insurance broker fees0
Insurance broker organization code?3
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number10484067
Policy instance 1
Insurance contract or identification number10484067
Number of Individuals Covered3098
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $197,215
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,929,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $197,215
Amount paid for insurance broker fees0
Insurance broker organization code?3

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