Local 475 Health Plan — Form 5500 plan (Board Of Trustees Local 475 Health Plan)

Plain-English plan 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, Local 475 Health Plan is a benefit plan reported by Board Of Trustees Local 475 Health Plan under EIN 13-6179467 and plan number 501. The latest loaded filing year is 2023. The filing reports 292 participants and $17,720,882 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Board Of Trustees Local 475 Health Plan
EIN
13-6179467
Plan number
501
Plan type
1
Location
Pelham, NY
Latest filing year
2023
Participants
292
End-of-year plan assets
$17,720,882

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023292H, C20241015192925NAL0049542208002

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$17,720,882
Total liabilities (EOY)
$802,478
Net assets (EOY)
$16,918,404
Net assets (BOY)
$13,700,263

Income & contributions

Employer contributions
$7,767,294
Participant contributions
$1,881
Total contributions
$7,769,175
Total income / additions
$9,295,176

Expenses & distributions

Benefits paid
$5,434,081
Administrative expenses
$642,954
Total expenses
$6,077,035
Net increase / (decrease)
$3,218,141

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Amalgamated Employee Ben Adminnot reported in the loaded dataset$164,757not reported in the loaded dataset2023
Anthemnot reported in the loaded dataset$100,114not reported in the loaded dataset2023
Peter VaupelFUND ADMINISTRATOR$76,884not reported in the loaded dataset2023
Eduardo MelendezEMPLOYEE$39,860not reported in the loaded dataset2023
Barnes, Iaccarino & Shepherd LlpATTORNEY$32,168not reported in the loaded dataset2023
Donna ColantuonoEMPLOYEE$29,799not reported in the loaded dataset2023
Gettry Marcus Cpa, P.C.ACCOUNTANT$21,500not reported in the loaded dataset2023
Cynomys, Inc.ACTUARIAL$20,000not reported in the loaded dataset2023
Amalgamated Medical Care Managementnot reported in the loaded dataset$9,227not reported in the loaded dataset2023
D. D. Services, Inc.CLAIMS PROCESSING$8,976not reported in the loaded dataset2023
Dahab AssociatesINVESTMENT CONSULTANT$8,543not reported in the loaded dataset2023
Cvs Pharmacy, Inc.CLAIM PROCESSING$6,873not reported in the loaded dataset2023
M&T Bank Trust & Pension ServicesINVESTMENT CUSTODIAN$5,734$02023

Related Form 5500 pages