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LOCAL 4911 V.E.B.A C/O BENEFITS ADMINISTRATIVE SERVICE
Sponsor portfolio
Welfare / Health
EIN
421572846
LOCAL 4911 V.E.B.A C/O BENEFITS ADMINISTRATIVE SERVICE
26301 CURTISS-WRIGHT PARKWAY · RICHMOND HEIGHTS, OH 44143
2162618414
Plans filed
1
Years active
2015–2024
Industry
NAICS 52
Latest filing
2024
Total premiums (latest)
i
$688K
No prior year
Persons covered
i
219
No prior year
Total participants
i
3,337
No prior year
Plans filed
i
1
No prior year
Plans under this sponsor
1 plan
Plan #501
$688K
VOLUNTARY LOCAL 4911 RETIREE MEDICAL FUND
Fully insured
219 covered
·
1 carrier
Primary: BLUE CROSS BLUE SHIELD OF MICHIGAN
Coverage overview
Aggregate, latest year
Benefit type
Premium
Share
Distribution
Health
$688K
50.0%
Prescription drug
$688K
50.0%
Carrier overview
1 carrier · all plans
Carrier
Coverage
Total premium
Share
Plans
Contracts
Covered
BLUE CROSS OF CALIFORNIA
EIN 382069753
H
Rx
$688K
100.0%
1
1
219
History & trajectory
10 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.
Policy details
Latest year, by plan
Plan #501
VOLUNTARY LOCAL 4911 RETIREE MEDICAL FUND
219 covered · 1 contract
$688K
Company contact details
Filing signers, plan administrators, auditors, actuaries
2 contacts
Provider details
Schedule C providers, welfare brokers and carriers
1 provider
Sponsor documents
Form 5500 filings and Top Hat statements on this EIN
10 documents - 1 plan - 10 years