Ua Local 190 Medicare Retiree Health & Welfare Plan — Form 5500 plan (Joint Board Of Trustees Of The Ua Local 190 Medicare Retiree Health &)

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, Ua Local 190 Medicare Retiree Health & Welfare Plan is a benefit plan reported by Joint Board Of Trustees Of The Ua Local 190 Medicare Retiree Health & under EIN 47-4017809 and plan number 505. The latest loaded filing year is 2023. The filing reports 377 participants and $33,903,445 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Joint Board Of Trustees Of The Ua Local 190 Medicare Retiree Health &
EIN
47-4017809
Plan number
505
Plan type
1
Location
Troy, MI
Latest filing year
2023
Participants
377
End-of-year plan assets
$33,903,445

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023377H, C20250314155402NAL0022481105001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$33,903,445
Total liabilities (EOY)
$1,569,227
Net assets (EOY)
$32,334,218
Net assets (BOY)
$30,373,341

Income & contributions

Employer contributions
$19,700,946
Participant contributions
$1,278,098
Total contributions
$20,979,044
Total income / additions
$23,236,067

Expenses & distributions

Benefits paid
$20,056,643
Administrative expenses
$1,218,547
Total expenses
$21,275,190
Net increase / (decrease)
$1,960,877

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Blue Cross Blue Shield Of MichiganNONE$779,647not reported in the loaded dataset2023
Tic International CorporationNONE$237,538not reported in the loaded dataset2023
Benefits Partner LLCNONE$63,350$18,9342023
Ferguson Widmayer & Clark PcNONE$52,871not reported in the loaded dataset2023
Delta Dental Of MichiganNONE$52,717not reported in the loaded dataset2023
O'Sullivan Associates, IncNONE$29,400not reported in the loaded dataset2023
Wex Health, IncNONE$28,664not reported in the loaded dataset2023
Bennett & Associates Cpas PllcNONE$27,490not reported in the loaded dataset2023
ComericaNONE$18,554not reported in the loaded dataset2023
Davis Vision, IncNONE$5,311not reported in the loaded dataset2023

Related Form 5500 pages