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Form 5500 · Employee benefit plan · WEST COVINA, CA

TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND

TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND of WEST COVINA, CA spreads its employee benefits across 6 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BENEFITMALL. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC. SOUTHERN CALIFORNIA and 5 other carriers. The plan's most recent policy period ended in October.

Benefits broker of record
Policy year ends
Octoberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-6048844 · plan 501 · plan year 2024, filed Oct 10, 2025

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

198 other employer plans in California have policy years ending in October. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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.

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
8,934
Active at start of year
5,259
Active at end of year
5,191
Disclosed commissions
$20,086
Typical renewal
November 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN INC. SOUTHERN CALIFORNIA9,321 of 8,934 participants on the largest contract
Dentalinsured — LIBERTY DENTAL PLAN OF CALIFORNIA, INC.2,903 of 8,934 participants (32%)
Visioninsured — VISION SERVICE PLAN5,172 of 8,934 participants (58%)
Lifenot declared on this filing
Disabilitynot declared on this filing

Also declared: death benefits.

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 and stop-loss; the largest, with KAISER FOUNDATION HEALTH PLAN INC. SOUTHERN CALIFORNIA, covers 9,321 people.

The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.

Reported premium across the insured contracts is $91,899,324, with $20,086 in disclosed broker commissions — about 0% of premium.

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

BENEFITMALL is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE UNION LABOR LIFE INSURANCE COMPANYStop-loss1,961Feb 29, 2024$401,727$20,086
KAISER FOUNDATION HEALTH PLAN INC. SOUTHERN CALIFORNIAHealth9,321Nov 1, 2024$67,462,871$0
AETNA HEALTH, INC.Health1,581Feb 29, 2024$22,872,113$0
VISION SERVICE PLANVision5,172Jan 1, 2025$547,229$0
LIBERTY DENTAL PLAN OF CALIFORNIA, INC.Health, Dental2,903Jan 1, 2025$371,184$0
KAISER FOUNDATION HEALTH PLAN, INC.Health40Feb 29, 2024$244,200$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
TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND
EIN 95-6048844
BENESYS ADMINISTRATORS
Contract administrator · Claims processing · Recordkeeping and information management · EIN 38-2383171
$3,047,978
paid directly by the plan
BROADREACH MEDICAL RESOURCES
Claims processing · Plan administrator · EIN 02-0640082
$1,384,165
paid directly by the plan
ANTHEM BLUE CROSS
Claims processing · Contract administrator · Recordkeeping and information management · EIN 95-4331852
$476,841
paid directly by the plan
HORIZON ACTUARIAL SERVICES
Named on Schedule C · EIN 26-1370698
$107,327
paid directly by the plan
SEYFARTH SHAW, LLP
Named on Schedule C · EIN 36-2152202
$106,278
paid directly by the plan
VISION SERVICE PLAN
Claims processing · EIN 94-1632821
$65,050
paid directly by the plan
PHARMACY BENEFIT SOLUTIONS
Named on Schedule C · EIN 47-0866096
$48,875
paid directly by the plan
HENNINGFIELD & ASSOCIATES, INC.
Accounting and audit · EIN 54-2189926
$40,950
paid directly by the plan
AMERICAN SPECIALTY HEALTH GROUP
Named on Schedule C · EIN 33-0571188
$26,777
paid directly by the plan
MEDICAL REVIEW INSTITUTE OF AM
Named on Schedule C · EIN 87-0515201
$9,536
paid directly by the plan
ASSURED PARTNERS OF CALIFORNIA
Named on Schedule C · EIN 35-2607925
$0
paid directly by the plan
PACIFIC INCOME ADVISORS
Named on Schedule C · EIN 22-3283186
$0
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
$82,291,413
Paid out in benefits
$119,573,002
Paid to insurance carriersSchedule H, line 2e(2)
$74,134,891
Independent accountantEIN 54-2189926
HENNINGFIELD & ASSOCIATES, INC.
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$40,950

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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Renewal calendar

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