2023 Form 5500 filing — Teamsters Health Services & Insurance Plan Local 404
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 20250414090334NAL0002857952001) for Teamsters Health Services & Insurance Plan Local 404, reported by Teamsters Health Service & Insurance Plan Of Local 404 under EIN 04-2589472 and plan number 501. It reports 1,370 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250414090334NAL0002857952001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Teamsters Health Service & Insurance Plan Of Local 404
- EIN
- 04-2589472
- Plan number
- 501
- Location
- Springfield, MA
- Participants
- 1,370
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $188,825,566
- Total liabilities (EOY)
- $1,391,396
- Net assets (EOY)
- $187,434,170
- Employer contributions
- $13,951,061
- Participant contributions
- $304,568
- Total income / additions
- $32,108,515
- Benefits paid
- $10,307,924
- Administrative expenses
- $1,050,912
- Total expenses
- $11,358,836
- Net increase / (decrease)
- $20,749,679
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Tri State Joint Fund | AFFILIATED ORGANIZATION | $376,650 | not reported in the loaded dataset |
| Anthem Blue Cross Blue Shield | NONE | $236,840 | $0 |
| Fund Manager | EMPLOYEE | $73,127 | not reported in the loaded dataset |
| Claims Processor | EMPLOYEE | $50,214 | not reported in the loaded dataset |
| Raymond James Associates Inc | NONE | $40,000 | $0 |
| Manning & Napier Advisors, Inc | NONE | $38,784 | $0 |
| B. Riley Wealth Management | NONE | $35,000 | not reported in the loaded dataset |
| Hamlin Capital Management LLC | NONE | $34,245 | not reported in the loaded dataset |
| Valenz Health | NONE | $32,985 | not reported in the loaded dataset |
| Dhk Financial Advisors Inc | NONE | $25,000 | not reported in the loaded dataset |
| Uprise Health | NONE | $24,273 | not reported in the loaded dataset |
| Mpl LLC | NONE | $0 | $21,895 |
| Miller Howard Investments Inc | NONE | $18,907 | not reported in the loaded dataset |
| Larry Keefe | EMPLOYER TRUSTEE | $14,918 | not reported in the loaded dataset |
| Frank Rossi | UNION TRUSTEE | $14,779 | not reported in the loaded dataset |
| Robert Sullivan | EMPLOYER TRUSTEE | $14,032 | not reported in the loaded dataset |
| Allegiant Rx | NONE | $11,520 | not reported in the loaded dataset |
| Optum Rx | NONE | $5,907 | $3,270 |
| Rhumbline Advisors | NONE | $7,500 | not reported in the loaded dataset |
| Bj Donovan | UNION TRUSTEE | $5,788 | not reported in the loaded dataset |