Plan Ledger DOL Form 5500 · updated monthly

Teamsters Local Unions 401 and 773 Health Planbenefits

Teamsters Local Unions 401 and 773 Health Plan · WILKES-BARRE, PA · plan year 2024

Broker compensation reported · 2024
None reported

Teamsters Local Unions 401 and 773 Health Plan's benefits plans covered 902 active participants in 2024, providing health · life · dental · vision · short-term disability · death benefits.

Insurance contracts · 20246
HIGHMARK INC. · health drug visionpremiums n/a · 2,516 covered
GUARDIAN LIFE INSURANCE · life stdpremiums n/a · 903 covered
UNITED CONCORDIA COMPANIES, INC. · dentalpremiums n/a · 548 covered
UNITED CONCORDIA COMPANIES, INC. · dentalpremiums n/a · 78 covered
HIGHMARK INC. · health visionpremiums n/a · 78 covered
CAPITAL BLUE CROSS · drug vision ppopremiums n/a · 902 covered

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 232024270 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.