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Form 5500 · Employee benefit plan · PARMA, OH

SHEET METAL WORKERS' UNION LCL 33 CLEVELAND DIST - HEALTH BENEFITS FD

The filing calls this plan SHEET METAL WORKERS' UNION LOCAL 33 CLEVELAND DISTRICT - HEALTH BENEFITS FUND.

SHEET METAL WORKERS' UNION LCL 33 CLEVELAND DIST - HEALTH BENEFITS FD of PARMA, OH insures health, life and stop-loss coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BENESYS INC. Coverage is written through THE UNION LABOR LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in April.

Benefits broker of record
Policy year ends
Aprilas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 34-6746427 · plan 501 · plan year 2025, filed Feb 12, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

92 other employer plans in Ohio have policy years ending in April. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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
964
Active at start of year
684
Active at end of year
663
Disclosed commissions
$32,665
Typical renewal
May 1

Benefits declared on this filing

Healthinsured — EMPHESYS INSURANCE COMPANY216 of 964 participants (22%)
Dentaldeclared, not on Schedule A
Visiondeclared, not on Schedule A
Lifeinsured — THE UNION LABOR LIFE INSURANCE COMPANY927 of 964 participants (96%)
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.

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 3 insured contracts covering health, life and stop-loss; the largest, with THE UNION LABOR LIFE INSURANCE COMPANY, covers 755 people.

The filing declares health, life, dental, vision and disability. Dental, vision 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 medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium across the insured contracts is $1,331,192, with $32,665 in disclosed broker commissions — about 2.5% of premium.

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

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
EMPHESYS INSURANCE COMPANYHealth216May 1, 2025$524,115$24,534
THE UNION LABOR LIFE INSURANCE COMPANYStop-loss755Apr 1, 2025$642,342$8,131
THE UNION LABOR LIFE INSURANCE COMPANYLife927Jul 1, 2024$164,735$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
SHEET METAL WORKERS' UNION LCL 33 CLEVELAND DIST - HEALTH BENEFITS FD
EIN 34-6746427
COMMUNITY INSURANCE COMPANY
Claims processing · Contract administrator · Recordkeeping and information management · EIN 31-1440175
$373,684
paid directly by the plan
BENESYS
Contract administrator · EIN 38-2383171
$365,243
paid directly by the plan
SEGAL SELECT INSURANCE SERVICES INC
Named on Schedule C · EIN 46-0619194
$65,500
paid directly by the plan
ALLOTTA, FARLEY CO., LPA
Named on Schedule C · EIN 34-1316963
$38,460
paid directly by the plan
WELLINGTON TRUST
Named on Schedule C · EIN 04-6657591
$21,064
paid directly by the plan
SMW LOCAL 33 FRINGE BENEFIT FUND
Plan administrator · EIN 34-1398805
$15,540
paid directly by the plan
MERCER HUMAN RESOURCES CONSULTING
Named on Schedule C · EIN 36-2668272
$11,330
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
$29,041,593
Paid out in benefits
$10,791,822
Paid to insurance carriersSchedule H, line 2e(2)
$1,342,115
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$26,500

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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Renewal calendar

92 other employer plans in Ohio are May 1 renewals (policy year ends April).

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