Local 475 Health Plan Health & Welfare Plan

Form 5500 filing data for plan year 2025.

Plan Snapshot

  • Plan Sponsor: Local 475 Health Plan
  • Sponsor EIN: 136179467
  • Sponsor Address: 629 FIFTH AVENUE, PELHAM, NY, 10803
  • Plan Type: Health & Welfare
  • Plan Number: 501
  • Total Participants: 203
  • Total Assets: $27.3M

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.
2025203$27.3M$0$0
2024288$21.7M$7.7M$10,135
2023306$17.7M$7.8M$1,881
2022292$14.3M$0$6.9M

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
ANTHEM BLUE CROSS (G1921)Other Service Provider$108,822—$108,822
AMALGAMATED EMPLOYEE BEN ADMINRecordkeeper$85,941—$85,941
PETER VAUPELRecordkeeper$79,707—$79,707
CITRIN COOPERMAN & COMPANY, LLPOther Service Provider$27,113—$27,113
AMALGAMATED MEDICAL CARE MANAGEMENTOther Service Provider$23,533—$23,533
BARNES, IACCARINO & SHEPHERD LLPERISA Attorney$21,600—$21,600
CYNOMYS, INC.Actuary$20,000—$20,000
EKA BENEFITS INCRecordkeeper—$20,000$20,000
D. D. SERVICES, INC.Other Service Provider$10,605—$10,605
DAHAB ASSOCIATESOther Service Provider$9,868—$9,868

Plan Fees & Expenses

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

  • Total Service Provider Fees: $407,189
  • Estimated Expense Ratio: 1.494% of plan assets

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$5,463,847$9,868$281,981$27,113—
2024$603,610$7,514$288,320$26,875—
2023$642,954$8,543$292,446$25,800—
2022$606,651$7,456$288,348—$68,970

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