2023 Form 5500 filing — Ibt Local 191 Health Service & Insurance 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 20250414140108NAL0001772369001) for Ibt Local 191 Health Service & Insurance Plan, reported by Ibt Local 191 Health Service & Insurance Plan under EIN 06-0689974 and plan number 501. It reports 3,076 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250414140108NAL0001772369001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Ibt Local 191 Health Service & Insurance Plan
- EIN
- 06-0689974
- Plan number
- 501
- Location
- Bridgeport, CT
- Participants
- 3,076
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $159,634,859
- Total liabilities (EOY)
- $8,572,170
- Net assets (EOY)
- $151,062,689
- Employer contributions
- $42,235,367
- Participant contributions
- $678,774
- Total income / additions
- $59,062,447
- Benefits paid
- $46,807,240
- Administrative expenses
- $2,449,489
- Total expenses
- $49,256,729
- Net increase / (decrease)
- $9,805,718
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Tri State Joint Fund | AFFILIATED ORGANIZATION | $1,142,704 | not reported in the loaded dataset |
| Anthem Blue Cross Blue Shield | NONE | $720,665 | $0 |
| Morgan Stanley Smith Barney LLC | NONE | $133,463 | $0 |
| Fund Manager | EMPLOYEE | $114,587 | not reported in the loaded dataset |
| Valenz Health | NONE | $110,186 | not reported in the loaded dataset |
| Claims Processor | EMPLOYEE | $86,740 | not reported in the loaded dataset |
| Uprise Health | NONE | $76,065 | not reported in the loaded dataset |
| Mpl LLC | NONE | $0 | $66,376 |
| Claims Processor | EMPLOYEE | $60,091 | not reported in the loaded dataset |
| S.M. Esposito & Company, P.C. | NONE | $56,000 | not reported in the loaded dataset |
| Claims Processor | EMPLOYEE | $51,523 | not reported in the loaded dataset |
| Boyd Watterson Asset Mgmt LLC | NONE | $45,526 | not reported in the loaded dataset |
| Claims Processor | EMPLOYEE | $37,398 | not reported in the loaded dataset |
| Allegiant Rx | PBM CONSULTANT | $35,603 | not reported in the loaded dataset |
| Optum Rx | PBM | $23,386 | $11,067 |
| Earnest Partners LLC | NONE | $27,708 | not reported in the loaded dataset |
| Invesco Managed Accounts LLC | NONE | $21,677 | not reported in the loaded dataset |
| Claims Processor | EMPLOYEE | $20,998 | not reported in the loaded dataset |
| Edwin Rooney | UNION TRUSTEE | $18,076 | not reported in the loaded dataset |
| Great Lakes Advisors | NONE | $17,890 | not reported in the loaded dataset |
| Vsp Vision Care | NONE | $14,442 | $0 |
| Alliance Bernstein | NONE | $13,394 | not reported in the loaded dataset |
| Forest Harvey | EMPLOYER TRUSTEE | $12,245 | not reported in the loaded dataset |
| Waycross Partners LLC | NONE | $10,300 | not reported in the loaded dataset |
| Preferred Network Access | NONE | $6,232 | not reported in the loaded dataset |
| Robert Digirolamo | UNION TRUSTEE | $5,283 | not reported in the loaded dataset |