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Form 5500 · Employee benefit plan · LOS ANGELES, CA

BOARD OF TRUSTEES, LAUNDRY AND DRY CLEANING WORKERS LOCAL NO. 52 HEALT

The filing calls this plan LAUNDRY AND DRY CLEANING WORKERS LOCAL NO. 52 HEALTH AND WELFARE TRUST.

BOARD OF TRUSTEES, LAUNDRY AND DRY CLEANING WORKERS LOCAL NO. 52 HEALT of LOS ANGELES, CA spreads its employee benefits across 6 insurance carriers, according to its Form 5500 Schedule A. Coverage is written through AMALGAMATED LIFE INSURANCE COMPANY and 5 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 95-6537860 · plan 501 · plan year 2024, filed Oct 10, 2025

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How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
1,607
Active at start of year
1,607
Active at end of year
1,697
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — MEDIEXCEL HEALTH PLAN94 of 1,607 participants (5.8%)
Dentalinsured — UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC.1,963 of 1,607 participants on the largest contract
Visioninsured — VISION SERVICE PLAN1,705 of 1,607 participants
Lifeinsured — PRUDENTIAL INSURANCE COMPANY OF AMERICA1,697 of 1,607 participants
Disabilitynot declared on this filing

Health: MEDIEXCEL HEALTH PLAN covers 94 of 1,607 participants (5.8%) 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 6 insured contracts covering health, dental, vision, life and stop-loss; the largest, with AMALGAMATED LIFE INSURANCE COMPANY, covers 1,678 people.

The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium is $1,474,969; the filing discloses no broker commission on these contracts.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual 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
AMALGAMATED LIFE INSURANCE COMPANYStop-loss1,678Jan 1, 2025$562,926$0
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC.Dental1,963Jan 1, 2025$415,926$0
MEDIEXCEL HEALTH PLANHealth, Dental94Jan 1, 2025$321,146$0
VISION SERVICE PLANVision1,705Jan 1, 2025$150,359$0
PRUDENTIAL INSURANCE COMPANY OF AMERICALife1,697Jan 1, 2025$17,317$0
UNITED CONCORDIA INSURANCE COMPANYDental39Jan 1, 2025$7,295$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, LAUNDRY AND DRY CLEANING WORKERS LOCAL NO. 52 HEALT
EIN 95-6537860
AETNA LIFE INSURANCE COMPANY
Named on Schedule C · EIN 06-6033492
$611,862
paid directly by the plan
BENEFIT PROGRAMS ADMINISTRATION
Plan administrator · EIN 13-2501278
$357,534
paid directly by the plan
RX BENEFITS INC.
Contract administrator · EIN 63-1157085
$78,892
paid directly by the plan
MILLIMAN
Named on Schedule C · EIN 91-0675641
$75,000
paid directly by the plan
WITHUM SMITH BROWN PC
Accounting and audit · EIN 22-2027092
$63,496
paid directly by the plan
VISION SERVICE PLAN
Named on Schedule C · EIN 94-1632821
$32,029
paid directly by the plan
HENNINGFIELD & ASSOCIATES, INC.
Accounting and audit · EIN 54-2189926
$22,950
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
$46,914,999
Paid out in benefits
$8,766,785
Paid to insurance carriersSchedule H, line 2e(2)
$1,289,459
Independent accountantEIN 54-2189926
HENNINGFIELD & ASSOCIATES, INC.
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$22,950

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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