2023 Form 5500 filing — Local 812 Health Fund

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 20241015141526NAL0028727233001) for Local 812 Health Fund, reported by Board Of Trustees Local 812 Health Fund under EIN 13-6162404 and plan number 502. It reports 3,607 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20241015141526NAL0028727233001
Filing year
2023
Form type
1
Plan sponsor
Board Of Trustees Local 812 Health Fund
EIN
13-6162404
Plan number
502
Location
Great Neck, NY
Participants
3,607
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$12,829,281
Total liabilities (EOY)
$24,112,687
Net assets (EOY)
-$11,283,406
Employer contributions
$48,164,393
Participant contributions
$97,898
Total income / additions
$50,672,069
Benefits paid
$44,464,519
Administrative expenses
$1,106,949
Total expenses
$45,571,468
Net increase / (decrease)
$5,100,601
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Magnacare Admin. Services, LLCNONE$2,496,109$44,619
Tpa Computer CorpNONE$0$475,834
Cary Kane LlpNONE$233,207not reported in the loaded dataset
James Green EsqNONE$165,000not reported in the loaded dataset
Sele-Dent, Inc.NONE$36,348$84,123
The Segal CompanyNONE$99,258not reported in the loaded dataset
Telemedicine Management, Inc.NONE$96,206not reported in the loaded dataset
Novak Francella LLCNONE$93,492not reported in the loaded dataset
Teamsters Center Services FundNONE$92,269not reported in the loaded dataset
Amplifon(Usa), Inc.NONE$78,990not reported in the loaded dataset
National Labor BenefitsNONE$75,718not reported in the loaded dataset
Joseph GereminaEMPLOYEE$56,899not reported in the loaded dataset
John A. BowenEMPLOYEE$56,714not reported in the loaded dataset
Lisa BerryEMPLOYEE$38,994not reported in the loaded dataset
Colleen BradyEMPLOYEE$32,308not reported in the loaded dataset
OptumrxNONE$21,614not reported in the loaded dataset
Perfect Printing Solutions, Inc.NONE$12,821not reported in the loaded dataset
Signature Securities GroupNONE$12,318not reported in the loaded dataset
Flagstar AdvisorsNONE$10,340not reported in the loaded dataset
Andre GonzalesNONE$9,405not reported in the loaded dataset
Sdbwu Local 812 IbtAFFILIATED UNION$7,526not reported in the loaded dataset
Segal Select Insurance Services IncNONE$0$5,919

Related Form 5500 pages