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Form 5500 · Employee benefit plan · LAS VEGAS, NV

BOARD OF TRUSTEES FOR TEAMSTERS SECURITY FUND FOR SO. NV - HOTEL & CAS

The filing calls this plan TEAMSTERS SECURITY FUND FOR SOUTHERN NEVADA - HOTEL & CASINO WORKERS.

Public Form 5500 records show how BOARD OF TRUSTEES FOR TEAMSTERS SECURITY FUND FOR SO. NV - HOTEL & CAS of LAS VEGAS, NV, a finance and insurance employer, structures its employee benefits. Coverage is written through HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-1237848 · plan 502 · plan year 2024, filed Oct 15, 2025

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How this plan is funded

Fully insured as reported

The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.

All participants at the start of the year
2,611
Active at start of year
2,595
Active at end of year
2,695
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE765 of 2,611 participants (29%) on the largest contract
Dentalinsured — LIBERTY DENTAL PLAN OF NEVADA, INC.1,669 of 2,611 participants (64%)
Visioninsured — HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE765 of 2,611 participants (29%) on the largest contract
Lifeinsured — THE UNION LABOR LIFE INSURANCE COMPANY3,337 of 2,611 participants
Disabilitydeclared, not on Schedule A

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 4 insured contracts covering health, dental, vision and life; the largest, with HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE, covers 765 people.

The filing declares health, dental, vision, life and disability. Disability appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

Reported premium is $4,911,734; the filing discloses no broker commission on these contracts.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.

No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFEHealth, Vision765Jan 1, 2025$3,763,140$0
VISION SERVICE PLANVision2,770Jan 1, 2025$457,561$0
LIBERTY DENTAL PLAN OF NEVADA, INC.Health, Dental1,669Jan 1, 2025$433,107$0
THE UNION LABOR LIFE INSURANCE COMPANYLife3,337Oct 1, 2024$257,926$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BOARD OF TRUSTEES FOR TEAMSTERS SECURITY FUND FOR SO. NV - HOTEL & CAS
EIN 47-1237848
ZENITH AMERICAN SOLUTIONS, INC
Contract administrator · EIN 52-1590516
$966,485
paid directly by the plan
ANTHEM BLUE CROSS BLUE SHIELD
Recordkeeping and information management · Claims processing · EIN 84-0747736
$668,747
paid directly by the plan
INNOVATIVE CARE MANAGEMENT, INC
Named on Schedule C · EIN 93-1087669
$282,835
paid directly by the plan
SEGAL COMPANY (WESTERN STATES), INC
Named on Schedule C · EIN 94-1503999
$267,111
paid directly by the plan
RUBINBROWN LLP
Accounting and audit · EIN 43-0765316
$128,727
paid directly by the plan
ALLSPRING GLOBAL INVESTMENTS
Custodian · EIN 95-3692822
$109,405
paid directly by the plan
MEDIMPACT HEALTHCARE SYSTEMS, INC.
Claims processing · EIN 33-0567651
$96,027
paid directly by the plan
PHC OF NEVADA INC DBA HARMONY HEALT
Named on Schedule C · EIN 04-3290453
$81,376
paid directly by the plan
HEALTH SERVICES COALITION
Named on Schedule C · EIN 88-0492643
$29,002
paid directly by the plan
DIVERSIFIED DENTAL SERVICES, INC
Named on Schedule C · EIN 88-0346054
$17,182
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$79,807,804
Paid out in benefits
$29,564,841
Paid to insurance carriersSchedule H, line 2e(2)
$4,721,070
Independent accountantEIN 43-0765316
RUBINBROWN LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$128,727

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

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