Plan Ledger DOL Form 5500 · updated monthly

Board of Trustees Wi Ufcw Unions and Employers Health Planbenefits

Wisconsin Ufcw Unions and Employers Health Plan · GREENDALE, WI · plan year 2023

Broker compensation reported · 2023
None reported

Board of Trustees Wi Ufcw Unions and Employers Health Plan's benefits plan covered 271 active participants in 2023, providing health · life · dental · vision · short-term disability · other.

Insurance contracts · 20232
BLUE CROSS BLUE SHIELD OF WISCONSIN · visionpremiums n/a · 280 covered
THE UNION LABOR LIFE INSURANCE COMPANY · stop-losspremiums n/a · 206 covered

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 390979166 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.