Form 5500 · Employee benefit plan · HARRISBURG, PA
LABORERS UNION LOCAL 1174 HEALTH AND WELFARE FUND
LABORERS UNION LOCAL 1174 HEALTH AND WELFARE FUND of HARRISBURG, PA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is DELAWARE VALLEY HEALTH CARE. Coverage is written through US FIRE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 24-0856734 · plan 501 · plan year 2025, filed Nov 13, 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.
Benefits declared on this filing
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
Schedule A lists 2 insured contracts covering dental and stop-loss; the largest, with US FIRE INSURANCE COMPANY, covers 422 people.
The filing declares dental, health, vision, life and disability. Health, vision, life and disability appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $903,744 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium is $903,744; the filing discloses no broker commission on these contracts.
The most recent policy period ended in July, and the plan year ends January 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| US FIRE INSURANCE COMPANY | Stop-loss | 422 | Aug 1, 2025 | $903,744 | $0 |
| DELTA DENTAL OF PENNSYLVANIA | Dental | — | Feb 1, 2025 | — | $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.
Administrator and service providers
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
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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