2023 Form 5500 filing — Indiana Teamsters Health Benefits Fund Retiree 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 20241014140705NAL0052600546002) for Indiana Teamsters Health Benefits Fund Retiree Plan, reported by Board Of Trustees Of The Indiana Teamsters Health Benefits Fund under EIN 35-1074113 and plan number 502. It reports 143 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014140705NAL0052600546002
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Board Of Trustees Of The Indiana Teamsters Health Benefits Fund
- EIN
- 35-1074113
- Plan number
- 502
- Location
- Indianapolis, IN
- Participants
- 143
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $3,674,419
- Total liabilities (EOY)
- $157,000
- Net assets (EOY)
- $3,517,419
- Employer contributions
- $2,244,746
- Participant contributions
- $37,600
- Total income / additions
- $2,591,788
- Benefits paid
- $1,178,457
- Administrative expenses
- $133,755
- Total expenses
- $1,312,212
- Net increase / (decrease)
- $1,279,576
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Everside Health, LLC | CONSULTING | $168,942 | not reported in the loaded dataset |
| Anthem Healthcare | CLAIMS REPRICING | $69,064 | not reported in the loaded dataset |
| Teamsters Local 135 | CONTRACT ADMINISTRATOR | $27,347 | not reported in the loaded dataset |
| Siho Management | CASE MANAGMENT | $9,305 | not reported in the loaded dataset |
| Alatek, LLC | OTHER | $5,925 | not reported in the loaded dataset |