401k Plan data: CASSIA GROUP VISION plan

CASSIA GROUP VISION 401k Plan overview

Plan Name	CASSIA GROUP VISION
Plan identification number	513

CASSIA GROUP VISION Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	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 GROUP VISION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
513 2022-01-01 JILL KUECHLE 2023-07-21
513 2021-01-01 TERI BERNDT 2022-10-11
513 2020-01-01 TERI BERNDT 2022-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
513	2022-01-01	JILL KUECHLE	2023-07-21
513	2021-01-01	TERI BERNDT	2022-10-11
513	2020-01-01	TERI BERNDT	2022-10-11

Plan Statistics for CASSIA GROUP VISION

401k plan membership statisitcs for CASSIA GROUP VISION

Measure Date Value
2022: CASSIA GROUP VISION 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,283
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,206
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 1,206
Number of employers contributing to the scheme 2022-01-01 0
2021: CASSIA GROUP VISION 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,104
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,245
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 1,245
Number of employers contributing to the scheme 2021-01-01 0
2020: CASSIA GROUP VISION 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,169
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,104
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 1,104
Number of employers contributing to the scheme 2020-01-01 0

Measure	Date	Value
2022: CASSIA GROUP VISION 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,283
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,206
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	1,206
Number of employers contributing to the scheme	2022-01-01	0
2021: CASSIA GROUP VISION 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,104
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,245
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	1,245
Number of employers contributing to the scheme	2021-01-01	0
2020: CASSIA GROUP VISION 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,169
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,104
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	1,104
Number of employers contributing to the scheme	2020-01-01	0

Form 5500 Responses for CASSIA GROUP VISION

2022: CASSIA GROUP VISION 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: CASSIA GROUP VISION 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: CASSIA GROUP VISION 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	First time form 5500 has been submitted	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

038757

Policy instance

Insurance contract or identification number	038757
Number of Individuals Covered	1207
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $114,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

038757

Policy instance

Insurance contract or identification number	038757
Number of Individuals Covered	1140
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $119,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

38757

Policy instance

Insurance contract or identification number	38757
Number of Individuals Covered	1104
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $100,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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