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Form 5500 · Employee benefit plan · WILKES-BARRE, PA

TEAMSTERS LOCAL UNIONS 401 AND 773 HEALTH PLAN

TEAMSTERS LOCAL UNIONS 401 AND 773 HEALTH PLAN of WILKES-BARRE, PA is a 902-participant transportation and logistics employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is JUNO INSURANCE SERVICES, LLC. Coverage is written through HIGHMARK INC. and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2024270 · plan 501 · plan year 2025, filed Sep 18, 2026

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2,778 other employer plans in Pennsylvania have policy years ending in December. 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.

All participants at the start of the year
902
Active at start of year
902
Active at end of year
871
Disclosed commissions
$2,756
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — HIGHMARK INC.2,479 of 902 participants on the largest contract
Dentalinsured — UNITED CONCORDIA INSURANCE COMPANY543 of 902 participants (60%) on the largest contract
Visioninsured — HIGHMARK INC.2,479 of 902 participants on the largest contract
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA873 of 902 participants (97%)
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA873 of 902 participants (97%)

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 7 insured contracts covering health, dental, vision, life and disability; the largest, with HIGHMARK INC., covers 2,479 people.

Reported premium across the insured contracts is $21,494,233, with $2,756 in disclosed broker commissions — about 0% of premium.

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

JUNO INSURANCE SERVICES, LLC is the broker of record on 2 of the 7 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including HIGHMARK INC., UNITED CONCORDIA INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and TRISURA SPECIALTY INSURANCE COMPANY. HIGHMARK INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
TRISURA SPECIALTY INSURANCE COMPANYHealth816Jan 1, 2026$26,464$2,647
TRISURA SPECIALTY INSURANCE COMPANYHealth33Jan 1, 2026$1,090$109
HIGHMARK INC.Health, Vision2,479Jan 1, 2026$20,347,022$0
HIGHMARK INC.Health, Vision80Jan 1, 2026$710,593$0
UNITED CONCORDIA INSURANCE COMPANYDental543Jan 1, 2026$229,656$0
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICALife, Disability873Oct 1, 2025$149,402$0
UNITED CONCORDIA INSURANCE COMPANYDental80Jan 1, 2026$30,006$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 LOCAL UNIONS 401 AND 773 HEALTH PLAN
EIN 23-2024270
PNC INSTITUTIONAL INVESTMENTS
Named on Schedule C · EIN 25-1211909
$93,927
paid directly by the plan
FOSTER & FOSTER CONSULTING ACTUARIE
Named on Schedule C · EIN 59-1921114
$67,877
paid directly by the plan
BRIDGEWAY BENEFIT TECHNOLOGY
Recordkeeping and information management · EIN 52-1796473
$46,729
paid directly by the plan
DELTA DENTAL OF PENNSYLVANIA
Contract administrator · EIN 23-1667011
$35,598
paid directly by the plan
NOVAK FRANCELLA, LLC
Accounting and audit · EIN 61-1436956
$32,517
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
$33,038,180
Paid out in benefits
$22,540,516
Paid to insurance carriersSchedule H, line 2e(2)
$21,400,346
Independent accountantEIN 61-1436956
NOVAK FRANCELLA, LLC
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$26,000

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

2,778 other employer plans in Pennsylvania are January 1 renewals (policy year ends December).

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