2023 Form 5500 filing — Ufcw - Hawaii Food Employers Retiree Health And Welfare Plan

Plain-English filing summary

According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241009222504NAL0039169586001) for Ufcw - Hawaii Food Employers Retiree Health And Welfare Plan, reported by Board Of Trustees, Ufcw - Hawaii Food Employers Health under EIN 01-0757287 and plan number 502. It reports 209 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20241009222504NAL0039169586001
Filing year
2023
Form type
1
Plan sponsor
Board Of Trustees, Ufcw - Hawaii Food Employers Health
EIN
01-0757287
Plan number
502
Location
Honolulu, HI
Participants
209
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$2,737,037
Total liabilities (EOY)
$52,001
Net assets (EOY)
$2,685,036
Employer contributions
$2,120,444
Total income / additions
$2,334,168
Benefits paid
$1,532,378
Administrative expenses
$110,925
Total expenses
$1,643,303
Net increase / (decrease)
$690,865
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Hawaii Benefit Administrators, Inc.NONE$38,815$0
Rael & LetsonNONE$25,554$0
Miller Kaplan Arase LlpNONE$16,000$0
Hma, Inc.NONE$9,058$0
Mccraken, Stemerman & HolsberryNONE$7,200$0

Related Form 5500 pages