Form 5500 · Employee benefit plan · LAS VEGAS, NV
TEAMSTERS SECURITY FUND FOR S NEVADA LOCAL 14 NON-MEDICARE RETIREE PLA
The filing calls this plan TEAMSTERS SECURITY FUND FOR S NEVADA LOCAL 14 NON-MEDICARE RETIREE PLAN.
TEAMSTERS SECURITY FUND FOR S NEVADA LOCAL 14 NON-MEDICARE RETIREE PLA of LAS VEGAS, NV insures dental, vision and stop-loss coverage for its employees, per Schedule A of its Form 5500. Coverage is written through ANTHEM BLUE CROSS and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 88-0087294 · plan 502 · plan year 2024, filed Oct 11, 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
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.
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 5 insured contracts covering dental, vision and stop-loss; the largest, with ANTHEM BLUE CROSS, covers 177 people.
The filing declares dental, vision, health and life. Health and life 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.
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 $6,342 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 $88,009; 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM BLUE CROSS | — | 177 | Jan 1, 2025 | $42,376 | $0 |
| VISION SERVICE PLAN | Vision | 177 | Jan 1, 2025 | $27,216 | $0 |
| DELTA DENTAL | Dental | 152 | Jan 1, 2025 | $6,745 | $0 |
| THE UNION LABOR LIFE INSURANCE COMPANY | Stop-loss | 152 | Jan 1, 2025 | $6,342 | $0 |
| LIBERTY DENTAL PLAN OF NEVADA, INC. | Dental | 8 | Jan 1, 2025 | $5,330 | $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.
Other plans filed by this employer
How this plan compares
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