Plan Ledger DOL Form 5500 · updated monthly

Board of Trustees, Ufcw Local 555-EMPLOYERS Healthbenefits

Ufcw Local 555-EMPLOYERS Health Trust · TUALATIN, OR · plan year 2024

Broker compensation reported · 2024
None reported

Board of Trustees, Ufcw Local 555-EMPLOYERS Health's benefits plans covered 11,317 active participants in 2024, providing health · life · dental · vision · short-term disability · death benefits · other. Insurance premiums totaled $74,059.

Insurance contracts · 20246
STANDARD INSURANCE COMPANY · life$74K · 9,490 covered
UNITEDHEALTHCARE OF OREGON, INC. · health hmopremiums n/a · 11 covered
PROVIDENCE HEALTH PLAN · healthpremiums n/a · 20 covered
VISION SERVICE PLAN · visionpremiums n/a · 8,367 covered
LIFEMAP ASSURANCE COMPANY · dentalpremiums n/a · 2,488 covered
REGENCE BLUECROSS BLUESHIELD OF OREGON · health dental vision ppopremiums n/a · 429 covered

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 237017278 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.