Teamsters Local 210 Affiliated Health & Insurance Fund — Form 5500 plan (Teamsters Local 210 Affiliated Health & Insurance Fund)
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, Teamsters Local 210 Affiliated Health & Insurance Fund is a benefit plan reported by Teamsters Local 210 Affiliated Health & Insurance Fund under EIN 20-5003549 and plan number 501. The latest loaded filing year is 2023. The filing reports 5,442 participants and $22,345,277 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Teamsters Local 210 Affiliated Health & Insurance Fund
- EIN
- 20-5003549
- Plan number
- 501
- Plan type
- 1
- Location
- Staten Island, NY
- Latest filing year
- 2023
- Participants
- 5,442
- End-of-year plan assets
- $22,345,277
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 5,442 | H, C | 20241015182711NAL0015250595001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $22,345,277
- Net assets (EOY)
- $22,345,277
- Net assets (BOY)
- $15,833,272
Income & contributions
- Employer contributions
- $59,402,821
- Participant contributions
- $179,266
- Total contributions
- $59,582,087
- Total income / additions
- $61,584,747
Expenses & distributions
- Benefits paid
- $50,702,175
- Administrative expenses
- $4,370,567
- Total expenses
- $55,072,742
- Net increase / (decrease)
- $6,512,005
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Crossroads Healthcare Management Ll | NONE | $3,189,171 | not reported in the loaded dataset | 2023 |
| Empire Blue Cross Blue Shield | NONE | $1,415,960 | not reported in the loaded dataset | 2023 |
| Empire Blue Cross Blue Shield | NONE | $940,644 | not reported in the loaded dataset | 2023 |
| Proscript Pharmacy Management LLC | NONE | $581,178 | not reported in the loaded dataset | 2023 |
| Law Offices Of Thomas A. Thompson | NONE | $222,925 | not reported in the loaded dataset | 2023 |
| Davis Vision Inc | NONE | $164,808 | not reported in the loaded dataset | 2023 |
| Crossroads Healthcare Management Ll | NONE | $96,033 | not reported in the loaded dataset | 2023 |
| Samuel Goldstein & Co., P.C. | NONE | $89,646 | not reported in the loaded dataset | 2023 |
| Amalgamated Life Insurance Co | NONE | $77,576 | not reported in the loaded dataset | 2023 |
| First Unum Life Insurance Co | NONE | $73,681 | not reported in the loaded dataset | 2023 |
| Mutual Of Omaha | NONE | $68,984 | not reported in the loaded dataset | 2023 |
| Savasta And Company Inc | NONE | $52,000 | not reported in the loaded dataset | 2023 |
| Dental Services Inc | NONE | $50,256 | not reported in the loaded dataset | 2023 |
| David R Pfaff, Md | NONE | $36,000 | not reported in the loaded dataset | 2023 |
| Vision Screening Inc | NONE | $27,780 | not reported in the loaded dataset | 2023 |
| Perfect Printing Solutions Inc | NONE | $17,229 | not reported in the loaded dataset | 2023 |
| General Vision Services LLC | NONE | $15,280 | not reported in the loaded dataset | 2023 |
| Palmer-Tanno Agency Inc | NONE | $13,694 | not reported in the loaded dataset | 2023 |
| Ziegler Capital Management LLC | NONE | $8,508 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Teamsters Local 210 Affiliated Health & Insurance Fund
- 2023 Form 5500 filing
- Form 5500 filings in NY
- 401(k) and benefit plan filings in Staten Island, NY
- Crossroads Healthcare Management Ll — Schedule C compensation
- Empire Blue Cross Blue Shield — Schedule C compensation
- Proscript Pharmacy Management LLC — Schedule C compensation
- Law Offices Of Thomas A. Thompson — Schedule C compensation
- Davis Vision Inc — Schedule C compensation
- Samuel Goldstein & Co., P.C. — Schedule C compensation
- Amalgamated Life Insurance Co — Schedule C compensation
- First Unum Life Insurance Co — Schedule C compensation
- Mutual Of Omaha — Schedule C compensation
- Savasta And Company Inc — Schedule C compensation
- Dental Services Inc — Schedule C compensation
- David R Pfaff, Md — Schedule C compensation
- Vision Screening Inc — Schedule C compensation
- Perfect Printing Solutions Inc — Schedule C compensation
- General Vision Services LLC — Schedule C compensation
- Palmer-Tanno Agency Inc — Schedule C compensation
- Ziegler Capital Management LLC — Schedule C compensation