Local 455 Death Benefit Fund Health & Welfare Plan

Form 5500 filing data for plan year 2025.

Plan Snapshot

  • Plan Sponsor: Local 455 Death Benefit Fund
  • Sponsor EIN: 363354233
  • Sponsor Address: 1301 LORIENT STREET, ST. PAUL, MN, 55117
  • Plan Type: Health & Welfare
  • Plan Number: 501
  • Total Participants: 1,204
  • Total Assets: $366,888

Key Plan Design Features

  • Auto-Enrollment: No
  • Auto-Escalation: No
  • Allows Roth Contributions: No
  • Participant Loans: No
  • Participant-Directed Investments: No
  • ERISA Section 404(c) Fiduciary Safe Harbor: No

Plan Financials by Year

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
20251,204$366,888$0$0
20241,150$311,659$0$45,504
20231,165$291,474$0$79,210
20221,116$252,002$0$24,928

Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

Provider Name Role Direct Compensation Indirect Compensation Total Fees
NOVAK FRANCELLA, LLCAuditor——$0

Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

  • Total Service Provider Fees: $0

Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

Year Total Admin Expenses Investment Mgmt Fees Contract Admin Fees IQPA Audit Fees Professional Fees
2025$26,182$913———
2024—————
2023—————
2022—————

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