Plan Ledger DOL Form 5500 · updated monthly

Board of Trustees Local 475 Health Planbenefits

Local 475 Health Plan · PELHAM, NY · plan year 2023

Broker compensation reported · 2023
None reported

Board of Trustees Local 475 Health Plan's benefits plan covered 306 active participants in 2023, providing health · life · dental · vision.

Insurance contracts · 20232
GERBER LIFE INSURANCE COMPANY · stop-losspremiums n/a
AMALGAMATED EMPLOYEE BENEFITS ADMIN · lifepremiums n/a · 306 covered

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 136179467 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.