2023 Form 5500 filing — Roofers Local 195 Health & Accident 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 20250227140218NAL0002219345002) for Roofers Local 195 Health & Accident Fund, reported by Roofers Local 195 Health & Accident Fund under EIN 16-6148181 and plan number 501. It reports 210 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20250227140218NAL0002219345002
Filing year
2023
Form type
1
Plan sponsor
Roofers Local 195 Health & Accident Fund
EIN
16-6148181
Plan number
501
Location
Liverpool, NY
Participants
210
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$2,373,600
Total liabilities (EOY)
$134,309
Net assets (EOY)
$2,239,291
Employer contributions
$2,877,916
Participant contributions
$14,734
Total income / additions
$3,292,007
Benefits paid
$2,274,824
Administrative expenses
$664,664
Total expenses
$2,939,488
Net increase / (decrease)
$352,519
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Patricia RedheadPLAN ADMINISTRATOR$125,000not reported in the loaded dataset
Brenda DannEMPLOYEE$59,315not reported in the loaded dataset
Aetna Life Insurance CompanyNONE$33,269not reported in the loaded dataset
Angela ChampionEMPLOYEE$30,696not reported in the loaded dataset
Blitman & King LlpNONE$19,314not reported in the loaded dataset
Bonadio & Co., LlpNONE$17,400not reported in the loaded dataset
O'Sullivan AssociatesNONE$12,050not reported in the loaded dataset
Investment Performance Services LLCNONE$10,304not reported in the loaded dataset
Joseph W. Mccarthy And AssociatesNONE$9,875not reported in the loaded dataset
Tpa Consulting ServicesNONE$9,829not reported in the loaded dataset
Cassidy ChappiniEMPLOYEE$8,480not reported in the loaded dataset

Related Form 5500 pages