# UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **BOARD OF TRUSTEES, UFCW - HAWAII FOOD EMPLOYERS HEALTH** (dba AND WELFARE TRUST FUND). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BOARD OF TRUSTEES, UFCW - HAWAII FOOD EMPLOYERS HEALTH |
| EIN | 010757287 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | COVINA, CA |
| Industry | Retail Trade |
| Funding | mixed |
| Total premiums | $848K |
| Participants | 197 |
| Persons covered | 221 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, HMO |
| KAISER PERMANENTE | Health, HMO |
| THE UNION LABOR LIFE INSURANCE COMPANY | Stop-loss |
| VISION SERVICE PLAN (VSP) | Vision |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/010757287-502
- Cite as: PlanOptica, https://planoptica.com/welfare/010757287-502
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