2025-10-14T07:59:36-05:00 2024-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2024-01-01 060681161 CONNECTICUT LABORERS' HEALTH FUND CONN 2039347991 435 CAPTAIN THOMAS BOULEVARD WEST HAVEN CT 06516 SUSAN HENDERSON EXECUTIVE DIRECTOR 2039347991 2025-10-14 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2025-10-13 2024 2025-03-06 01:10:19Z SUSAN HENDERSON 435 CAPTAIN THOMAS BOULEVARD WEST HAVEN CT 06516 70228273 0 X N/A X 1984 CT TO PROVIDE MEDICAL, LIFE AND RELATED BENEFITS TO INDIVIDUALS WORKING UNDER THE TERMS OF A COLLECTIVE BARGAINING AGREEMENT WITH THE LABORERS UNION IN CONNECTICUT 8 0 17 0 0 0 0 0 60499273 61723794 1078211 1448063 57834 90655 61635318 63262512 0 0 57903121 60129124 1008174 1054572 0 0 0 2304945 2538956 61216240 63722652 419078 -460140 75675888 80753759 8075491 10938204 67600397 69815555 TO PROVIDE MEDICAL, LIFE AND RELATED BENEFITS TO INDIVIDUALS WORKING UNDER THE TERMS OF A COLLECTIVE BARGAINING AGREEMENT WITH THE LABORERS UNION IN CONNECTICUT 0 0 PROVIDE MEDICAL, LIFE, AND OTHER RELATED BENEFITS TO COVERED EMPLOYEES AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 17 1 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SUSAN HENDERSON 2039347991 435 CAPTAIN THOMAS BOULEVARD WEST HAVEN CT 06516 THADDEUS GRABOWSKI TRUSTEE (P) 0.50 X 0 0 0 KEITH BROTHERS TRUSTEE 0.50 X 0 0 0 JOHN BRUNALLI TRUSTEE 0.50 X 0 0 0 SHAWN GASKA TRUSTEE 0.50 X 0 0 0 VINCENT GIORDANO III TRUSTEE 0.50 X 0 0 0 MICHAEL ROY TRUSTEE 0.50 X 0 0 0 JOE BURNS TRUSTEE 0.50 X 0 0 0 CHRISTOPHER SNIPES TRUSTEE 0.50 X 0 0 0 ANDREW INORIO TRUSTEE 0.50 X 0 0 0 SUSAN HENDERSON EXEC. DIR. 40.00 X 117392 46977 75644 LORI FREDETTE CLAIMS SUPERVISOR 40.00 X 105109 0 61688 RICKY FREE COLLECTION SPECIALIST 40.00 X 36880 72772 62641 259381 119749 199973 2 0 1 0 AETNA LIFE INSURANCE CO 151 FARMINGTON AVE RE 11 HARTFORD CT 06156 CONTRACT ADMINISTRATION 1559541 CVS PHARMACY INC ONE CVS DRIVE WOONSOCKET RI 02895 CONTRACT ADMINISTRATION 234856 THE SEGAL COMPANY 1800 M ST NW WASHINGTON DC 20036 ACTUARIAL SERVICES 159897 3 EMPLOYER CONTRIBUTIONS 900099 52610264 52610264 SELF PAY CONTRIBUTIONS 900099 9113530 9113530 61723794 547612 547612 7866212 6965761 900451 900451 900451 ADMINISTRATIVE INCOME 900099 90655 90655 90655 63262512 61814449 0 1448063 60129124 589813 137636 265766 61357 95136 62122 36035 1954294 150360 148226 5572 5883 28155 53173 63722652 200 11536182 13373570 6141283 6791090 31057 41514 595233 308463 325882 286770 9140100 9516910 48501384 50743705 75675888 80753759 598130 612209 7477361 10325995 8075491 10938204 X 0 0 0 0 67600397 69815555 67600397 69815555 75675888 80753759 -460140 2675298 0 X 0 1 X 1 0 595233 308463 286770 286770 CCTS 14091589 F PARTNERSHIPS 36652116 F 50743705 DUE TO RELATED FUNDS 2062895 BENEFIT OBLIGATIONS 8263100 10325995 X 65901775 2675298 2675298 63226477 36035 36035 63262512 61846417 0 61846417 36035 1840200 1876235 63722652 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR 1,840,200. 0 0 0 SUSAN HENDERSON EXEC. DIR. 117392 46977 0 0 0 0 35712 14291 18313 7328 171417 68596 0 0 RICKY FREE COLLECTION SPECIALIST 36880 72772 0 0 0 0 12332 24668 8546 17095 57758 114535 0 0 LORI FREDETTE CLAIMS SUPERVISOR 105109 0 0 0 0 0 36047 0 25641 0 166797 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE FORM 990 ARE DISTRIBUTED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH TRUSTEE AND KEY EMPLOYEE. ON AN ANNUAL BASIS, EACH TRUSTEE AND KEY EMPLOYEE SIGNS A STATEMENT THAT THEY RECEIVED, HAVE UNDERSTOOD, AND WILL ABIDE BY THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE COMPENSATION LEVELS FOR EXECUTIVE DIRECTORS OF COMPARABLE FUNDS TO HELP DETERMINE THE COMPENSATION OF ITS OWN EXECUTIVE DIRECTOR. JOB PERFORMANCE IS ALSO EVALUATED AND USED TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION AVAILABLE UPON REQUEST. HOWEVER, INFORMATION IS NOT AVAILABLE TO THE PUBLIC. INFORMATION IS ONLY AVAILABLE TO PLAN PARTICIPANTS AND SIGNATORY EMPLOYERS UPON REQUESTS. 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