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CUA OPCO, LLC GROUP BENEFITS PLAN 401k Plan overview

Plan NameCUA OPCO, LLC GROUP BENEFITS PLAN
Plan identification number 502

CUA OPCO, LLC GROUP BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CUA OPCO, LLC has sponsored the creation of one or more 401k plans.

Company Name:CUA OPCO, LLC
Employer identification number (EIN):812954717
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUA OPCO, LLC GROUP BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-10-01JODY DIAZ2024-04-17
5022021-10-01JODY DIAZ2023-06-15
5022021-10-01JODY DIAZ2023-10-18
5022019-10-01JODY DIAZ2023-10-12

Plan Statistics for CUA OPCO, LLC GROUP BENEFITS PLAN

401k plan membership statisitcs for CUA OPCO, LLC GROUP BENEFITS PLAN

Measure Date Value
2022: CUA OPCO, LLC GROUP BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-011,116
Total number of active participants reported on line 7a of the Form 55002022-10-011,109
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-011,109
Number of employers contributing to the scheme2022-10-010
2021: CUA OPCO, LLC GROUP BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-011,478
Total number of active participants reported on line 7a of the Form 55002021-10-011,424
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-011,424
Number of employers contributing to the scheme2021-10-010
2019: CUA OPCO, LLC GROUP BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-011,281
Total number of active participants reported on line 7a of the Form 55002019-10-011,281
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-011,281
Number of employers contributing to the scheme2019-10-010

Form 5500 Responses for CUA OPCO, LLC GROUP BENEFITS PLAN

2022: CUA OPCO, LLC GROUP BENEFITS PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – General assets of the sponsorYes
2021: CUA OPCO, LLC GROUP BENEFITS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01First time form 5500 has been submittedYes
2021-10-01Submission has been amendedYes
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: CUA OPCO, LLC GROUP BENEFITS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number460688G
Policy instance 1
Insurance contract or identification number460688G
Number of Individuals Covered1423
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $37,925
Total amount of fees paid to insurance companyUSD $29,668
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $765,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees28235
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30034611
Policy instance 2
Insurance contract or identification number30034611
Number of Individuals Covered820
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $193,894
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 number460688G
Policy instance 1
Insurance contract or identification number460688G
Number of Individuals Covered1281
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $28,525
Total amount of fees paid to insurance companyUSD $4,562
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $1,137,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,525
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30034611
Policy instance 2
Insurance contract or identification number30034611
Number of Individuals Covered756
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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