2023 Form 5500 filing — Ufcw - Hawaii Food Employers Health And Welfare Plan
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 20241009232504NAL0038562738001) for Ufcw - Hawaii Food Employers Health And Welfare Plan, reported by Board Of Trustees, Ufcw - Hawaii Food Employers under EIN 01-0757287 and plan number 501. It reports 1,864 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241009232504NAL0038562738001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Board Of Trustees, Ufcw - Hawaii Food Employers
- EIN
- 01-0757287
- Plan number
- 501
- Location
- Honolulu, HI
- Participants
- 1,864
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $18,794,729
- Total liabilities (EOY)
- $4,246,107
- Net assets (EOY)
- $14,548,622
- Employer contributions
- $20,528,083
- Participant contributions
- $233,251
- Total income / additions
- $21,443,122
- Benefits paid
- $15,892,626
- Administrative expenses
- $1,146,569
- Total expenses
- $17,039,195
- Net increase / (decrease)
- $4,403,927
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Hma, Inc. | NONE | $421,104 | $0 |
| Mccraken, Stemerman & Holsberry | NONE | $187,223 | $0 |
| Hawaii Benefit Administrators, Inc. | NONE | $178,019 | $0 |
| Rael & Letson | NONE | $57,772 | $0 |
| Hawaii Dental Services | NONE | $43,427 | $0 |
| Express Scripts, Inc. | NONE | $43,239 | $0 |
| Miller Kaplan Arase Llp | NONE | $35,843 | $0 |
| Weinberg, Roger & Rosenfeld | NONE | $35,049 | $0 |
| Chiroplan Hawaii, Inc. | NONE | $25,855 | $0 |
| Bank Of Hawaii | NONE | $15,992 | $0 |
| Hawaii Community Health Alliance | NONE | $8,783 | $0 |
| First Hawaiian Bank | NONE | $8,239 | $0 |