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Form 5500 · Employee benefit plan · PARSIPPANY, NJ

IBEW LOCAL NO 102 WELFARE FUND BOARD OF TRUSTEES

The filing calls this plan IBEW LOCAL NO 102 WELFARE FUND.

IBEW LOCAL NO 102 WELFARE FUND BOARD OF TRUSTEES of PARSIPPANY, NJ is a 3,937-participant construction employer whose group benefits are disclosed in its annual Form 5500 filing. Coverage is written through MEDCO CONTAINMENT LIFE INSURANCE COMPANY and 1 other carrier. 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 22-6487222 · plan 501 · plan year 2024, filed Sep 30, 2025

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How this plan is funded

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

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
3,937
Active at start of year
2,480
Active at end of year
2,473
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared, no contract here says it covers this
Visiondeclared, no contract here says it covers this
Lifenot declared on this filing
Disabilitynot declared on this filing

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

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.

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

The filing declares health, dental and vision. Health, dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.

Reported premium is $3,045,025; 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.

Two carriers split the book: MEDCO CONTAINMENT LIFE INSURANCE COMPANY and EMPOWER ANNUITY INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
MEDCO CONTAINMENT LIFE INSURANCE COMPANY—1,645Jan 1, 2025$3,045,025$0
EMPOWER ANNUITY INSURANCE COMPANYAnnuity / GIC—Jan 1, 2025$9,282,920$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
IE SHAFFER AND COMPANY
EIN 22-1750854
HORIZON BLUE CROSS BLUE SHIELD NJ
Contract administrator · EIN 22-0999690
$1,315,433
paid directly by the plan
FABIAN AND BYRN LLC
Claims processing · EIN 25-1914887
$631,542
paid directly by the plan
GLOBAL PHARMACEUTICAL BENEFITS LLC
Contract administrator · EIN 27-3340151
$468,535
paid directly by the plan
IE SHAFFER & CO
Plan administrator · EIN 22-1750854
$478,986
paid directly by the plan
ZELIS HEALTHCARE
Claims processing · EIN 86-1040704
$166,196
paid directly by the plan
WEAVER C BARKSDALE AND ASSOC INC
Named on Schedule C · EIN 62-1217255
$121,049
paid directly by the plan
LAW OFFICES OF TIMOTHY R HOTT
Named on Schedule C · EIN 22-3724341
$51,629
paid directly by the plan
WCM FOCUSED INTL GROWTH FUND, LP
Named on Schedule C · EIN 20-8941519
$45,426
paid directly by the plan
ORANSKY SCARAGGI AND BORG PC
Named on Schedule C · EIN 22-3522685
$18,133
paid directly by the plan
CBIZ RETIREMENT PLAN SERVICES
Named on Schedule C · EIN 31-1582098
$5,125
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
$117,021,381
Paid out in benefits
$70,571,745
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$99,474

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.

How this plan compares

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