Plan Ledger DOL Form 5500 · updated monthly

Bd of Trustees Ufcw, Local 1776KS, Wd and Employers Health Fundbenefits

Ufcw, Local 1776KS, Western Division and Employers Health Fund · CANONSBURG, PA · plan year 2024

Broker compensation reported · 2024
None reported

Bd of Trustees Ufcw, Local 1776KS, Wd and Employers Health Fund's benefits plans covered 4,767 active participants in 2024, providing health · life · dental · vision · short-term disability.

Insurance contracts · 20242
DEARBORN NATIONAL LIFE INSURANCE COMPANY · lifepremiums n/a · 4,951 covered
HIGHMARK FREEDOM BLUE · hmopremiums n/a · 152 covered

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 237083247 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.