2023 Form 5500 filing — Ua Local 190 Medicare Retiree Health & 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 20250314155402NAL0022481105001) for Ua Local 190 Medicare Retiree Health & Welfare Plan, reported by Joint Board Of Trustees Of The Ua Local 190 Medicare Retiree Health & under EIN 47-4017809 and plan number 505. It reports 377 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250314155402NAL0022481105001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Joint Board Of Trustees Of The Ua Local 190 Medicare Retiree Health &
- EIN
- 47-4017809
- Plan number
- 505
- Location
- Troy, MI
- Participants
- 377
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $33,903,445
- Total liabilities (EOY)
- $1,569,227
- Net assets (EOY)
- $32,334,218
- Employer contributions
- $19,700,946
- Participant contributions
- $1,278,098
- Total income / additions
- $23,236,067
- Benefits paid
- $20,056,643
- Administrative expenses
- $1,218,547
- Total expenses
- $21,275,190
- Net increase / (decrease)
- $1,960,877
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Blue Shield Of Michigan | NONE | $779,647 | not reported in the loaded dataset |
| Tic International Corporation | NONE | $237,538 | not reported in the loaded dataset |
| Benefits Partner LLC | NONE | $63,350 | $18,934 |
| Ferguson Widmayer & Clark Pc | NONE | $52,871 | not reported in the loaded dataset |
| Delta Dental Of Michigan | NONE | $52,717 | not reported in the loaded dataset |
| O'Sullivan Associates, Inc | NONE | $29,400 | not reported in the loaded dataset |
| Wex Health, Inc | NONE | $28,664 | not reported in the loaded dataset |
| Bennett & Associates Cpas Pllc | NONE | $27,490 | not reported in the loaded dataset |
| Comerica | NONE | $18,554 | not reported in the loaded dataset |
| Davis Vision, Inc | NONE | $5,311 | not reported in the loaded dataset |