Multi-Employer Plans: Approved Applications for Waiver of the Annual Limits Requirements
January 6, 2012
These plans are multi-employer group health plans created by a collective bargaining agreement between a union and employers, under the Taft
Hartley Act. This type of fund is made up of contributions from both the employers and employees. The size of the fund and contribution levels are
negotiated and vary among plans. They tend to be larger than other typical group health plans because they cover multiple employers. Both the union
and the employer are trustees or managers of the fund. The fund is used for the employees’ health coverage.
On September 3, 2010 the Centers for Medicare & Medicaid Services (CMS) announced the initial waiver process, allowing plans to receive a one
year waiver for plan or policy years with a start date between September 23, 2010 and September 23, 2011.
On June 17, 2011, the Centers for Medicare & Medicaid Services (CMS) issued subsequent guidance to conclude the annual limits waiver process.
This guidance allowed plans that received one year waivers to extend those waivers through 2013, contingent on applicants submitting annual
information about their plan and complying with requirements to ensure that their enrollees understand the limits of their coverage. The June 17,
2011 guidance also allowed any plans that had not yet applied for a waiver under the initial waiver policy to apply for one, good through 2013. All
applications were due September 22, 2011.
The June 17, 2011 guidance leaves three categories of plans that applied for and received waivers:
1. Plans that received a one year waiver under the initial policy that also received an extension under the June 17, 2011 policy.
2. Plans that received a one year waiver under the initial policy that did not apply for an extension under the June 17, 2011 policy.
3. Plans that did not apply for a one year waiver under the initial policy but did apply for, and receive one, good through 2013, under the June
17, 2011 policy.
To capture these three categories, the list below is separated into two sections.
Section A includes every plan that received a one year waiver under the initial policy. Plans without an asterisk applied for, and received, an
extension (category 1 from above). Plans with an asterisk did not apply for an extension (category 2 from above).
Section B lists plans that did not apply for a one year waiver under the initial policy but did apply for, and received, a waiver good through 2013.
(category 3 from above).
Section A: Section A includes every plan that received a one year waiver under the initial policy. Plans with an asterisk did not apply for an
extension. Plans without an asterisk applied for, and received, an extension. Plans must submit annual information about their plan and comply with
requirements to ensure that their enrollees understand the limits of their coverage.
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
1
Maritime Association - ILA
Houston
TX
9/17/2010
10/1/2010
600
9/22/2010
9/24/2010
2
Metropolitan D.C. Paving Industry
Employees Health and Welfare Fund
Beltsville
MD
9/20/2010
10/1/2010
550
9/20/2010
9/24/2010
3
Allied Industries Health Fund
Montville
NJ
9/13/2010
10/1/2010
127
9/13/2010
9/27/2010
4
I.U.P.A.T District Council No. 51
9/16/2010
10/1/2010
875
9/23/2010
9/27/2010
5
Transport Workers Union Health and
Welfare Fund
Baltimore
MD
9/20/2010
10/1/2010
107
9/23/2010
9/27/2010
6
Greater Metropolitan Hotel
Bloomington
MN
9/16/2010
10/1/2010
1,200
9/22/2010
9/30/2010
7
Local 17 Hospitality Benefit Fund
Bloomington
MN
9/16/2010
10/1/2010
881
9/22/2010
9/30/2010
8
Local 802 Musicians Health Fund
New York
NY
9/29/2010
10/1/2010
1,801
9/29/2010
10/1/2010
9
Local 25 SEIU
Chicago
IL
9/29/2010
10/1/2010
31,000
10/7/2010
10/14/2010
10
Masland Carpets, LLC Bargaining Unit
Health Care Plan
Dalton
GA
8/27/2010
1/1/2011
269
10/12/2010
10/14/2010
11
UFCW Maximus Local 455
Englewood
NJ
10/4/2010
1/1/2011
59
10/4/2010
10/18/2010
12
Alaska Seafood Processors
Portland
OR
9/23/2010
1/1/2011
262
10/15/2010
10/21/2010
13
Asbestos Workers Local 53 Welfare
Fund
Kenner
LA
9/29/2010
1/1/2011
510
10/21/2010
10/26/2010
14
Employees Security Fund
Flushing
NY
9/29/2010
1/1/2011
6,800
9/29/2010
10/26/2010
15
Florida Trowel Trades
West Palm
Beach
FL
9/27/2010
1/1/2011
297
10/21/2010
10/26/2010
16
Meijer Health Benefits Plan/Extended
Care Option
Grand Rapids
MI
10/1/2010
1/1/2011
4,873
10/5/2010
10/26/2010
17
Plumbers & Pipefitters Local 123
Welfare Fund
Jacksonville
FL
9/30/2010
1/1/2011
534
10/21/2010
10/26/2010
18
United Food and Commercial Workers
Union Local 227 and Employers Health
and Welfare Plan
Louisville
KY
10/12/2010
11/1/2010
1,125
10/12/2010
10/26/2010
19
IBEW No. 915
Tampa
FL
9/28/2010
1/1/2011
930
9/29/2010
10/28/2010
20
New England Health Care Employees
Welfare Fund
Hartford
CT
9/27/2010
1/1/2011
7,454
10/15/2010
10/28/2010
21
Laborers' International Union of North
America (LIUNA) Local Union No. 616
Health and Welfare Plan
Mount Laurel
NJ
10/19/2010
1/1/2011
188
10/19/2010
10/29/2010
22
Service Employees Benefit Fund
Syracuse
NY
10/12/2010
11/1/2010
1,297
10/29/2010
10/29/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
23
UFCW Allied Trades Health and Welfare
Trust Fund
Buena Park
CA
10/5/2010
12/1/2010
68
10/25/2010
10/29/2010
24
United Food and Commercial Workers
Union Local 1995 and Employers Health
and Welfare Trust Fund
Atlanta
GA
10/12/2010
11/1/2010
2,779
10/27/2010
10/29/2010
25
United Food and Commercial Workers
and Participating Employers Interstate
Health and Welfare Fund
East
Providence
RI
10/15/2010
5/1/2011
9,780
10/28/2010
11/4/2010
26
1199 SEIU Greater New York Benefit
Fund
New York
NY
10/8/2010
1/1/2011
4,544
10/8/2010
11/5/2010
27
DC Cement Masons Welfare Fund
Columbia
MD
10/22/2010
11/1/2010
225
11/3/2010
11/5/2010
28
Laundry and Dry Cleaning Workers
Local No. 52
City of
Industry
CA
10/6/2010
1/1/2011
1,547
10/21/2010
11/5/2010
29
United Food and Commercial Workers
Local 1459 and Contributing Employers
Health and Welfare Fund
Springfield
MA
10/14/2010
1/1/2011
1,400
10/14/2010
11/5/2010
30
United Food and Commercial Workers
Union (Mount Laurel NJ)
Mount Laurel
NJ
10/21/2010
11/1/2010
4,100
10/21/2010
11/8/2010
31
Alaska Pipe Trades U.A. Local 367
Health and Security Trust
Anchorage
AK
10/8/2010
1/1/2011
93
11/5/2010
11/15/2010
32
Amalgamated National Health Fund
White Plains
NY
10/8/2010
1/1/2011
24,739
11/9/2010
11/15/2010
33
Cleveland Bakers Teamsters
Valley View
OH
10/25/2010
1/1/2011
1,000
10/29/2010
11/15/2010
34
Indiana Teamsters Health Benefits Fund
Indianapolis
IN
9/29/2010
1/1/2011
500
11/1/2010
11/15/2010
35
NOITU Insurance Trust Fund
Jamaica
NY
10/5/2010
1/1/2011
1,390
11/12/2010
11/15/2010
36
Plumbers and Pipefitters Local No. 630
Welfare Fund
West Palm
Beach
FL
10/18/2010
1/1/2011
1,166
11/8/2010
11/15/2010
37
The UFCW Local 1000 Oklahoma
Health and Welfare Fund
Pembroke
Pines
FL
10/26/2010
1/1/2011
3,855
11/12/2010
11/15/2010
38
United Wire Metal and Machine Health
and Welfare Fund
Long Island
City
NY
10/1/2010
1/1/2011
1,955
11/1/2010
11/15/2010
39
Wisconsin United Food & Commercial
Workers Unions and Employers Health
Plan
Chicago
WI
10/14/2010
12/1/2010
775
10/14/2010
11/15/2010
40
Bricklayers Local 1 of MD VA and DC
Oxon Hill
MD
11/6/2010
1/1/2011
1,985
11/17/2010
11/23/2010
41
Greater Kansas City Laborers Welfare
Fund
Overland
Park
KS
10/21/2010
11/1/2010
2,398
10/21/2010
11/23/2010
42
International Brotherhood of Trade
Unions Health and Welfare Fund - Local
Garden City
NY
10/28/2010
1/1/2011
1,132
11/15/2010
11/23/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
713
43
Local 1102 Amalgamated Welfare Fund
Westbury
NY
10/29/2010
1/1/2011
1,384
10/29/2010
11/23/2010
44
Local 1102 Health & Benefit Fund
Westbury
NY
10/29/2010
1/1/2011
4,907
10/29/2010
11/23/2010
45
Local 1102 Welfare Fund (Lerner
Employees)
Westbury
NY
10/29/2010
1/1/2011
245
10/29/2010
11/23/2010
46
Local 338 Affiliated Benefit Funds
Mineola
NY
11/19/2010
1/1/2011
18,209
11/19/2010
11/23/2010
47
Local 348 Health & Welfare Fund
Brooklyn
NY
10/29/2010
1/1/2011
13,663
10/29/2010
11/23/2010
48
Local 371 United Food and Commercial
Workers Amalgamated Welfare Trust
Fund
Westport
CT
11/2/2010
1/1/2011
3,800
11/2/2010
11/23/2010
49
Operating Engineers Local 835 Health
and Welfare Fund
Abington
PA
10/20/2010
1/1/2011
576
11/16/2010
11/23/2010
50
Retail, Wholesale & Dept. Store Union
Local 1034 Welfare Fund
Abington
PA
10/20/2010
1/1/2011
483
11/16/2010
11/23/2010
51
SEIU Local 1 Cleveland Welfare Fund
Cleveland
OH
10/20/2010
1/1/2011
520
11/15/2010
11/23/2010
52
SMWIA Local 28 Welfare Fund
Mineola
NY
11/1/2010
1/1/2011
6,517
11/1/2010
11/23/2010
53
Southern California Pipe Trades Trust
Fund
Los Angeles
CA
10/12/2010
1/1/2011
12,700
11/2/2010
11/23/2010
54
Texas Carpenters and Millwrights Health
and Welfare Fund
10/28/2010
1/1/2011
4,729
10/28/2010
11/23/2010
55
United Crafts Benefits Fund
Williston Park
NY
11/1/2010
1/1/2011
2,017
11/1/2010
11/23/2010
56
United Food and Commercial Workers
Local 1445 New Hampshire
Quincy
MA
10/27/2010
1/1/2011
148
11/9/2010
11/23/2010
57
Local 272 Welfare Fund
New York
NY
10/28/2010
12/1/2010
12,000
10/28/2010
12/1/2010
58
Local 298 Health Benefit Fund Plan
Valley Stream
NY
10/29/2010
1/1/2011
273
10/29/2010
12/1/2010
59
Southwestern Teamsters Security Fund
Phoenix
AZ
10/29/2010
12/1/2010
589
11/23/2010
12/1/2010
60
Teamsters Local 210 Affiliated Health
and Insurance Fund
Staten Island
NY
11/15/2010
1/1/2011
10,613
11/15/2010
12/1/2010
61
Teamsters Local 445 Welfare Plan
Newburgh
NY
11/1/2010
1/1/2011
575
11/29/2010
12/1/2010
62
UNITE HERE Local 74 Welfare and
Dental Trust
Bridgeton
MO
11/12/2010
1/1/2011
220
11/29/2010
12/1/2010
63
United Employees Health Plans
Westbury
NY
11/15/2010
1/1/2011
1,073
11/15/2010
12/1/2010
64
United Food & Commerical Workers
Union Local No. 911 and Employers'
Health & Welfare Trust Fund
Cleveland
OH
11/19/2010
1/1/2011
582
11/19/2010
12/1/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
65
United Food and Commercial Workers
Union Local 1000 and Kroger Dallas
Health and Welfare Plan
Pembroke
Pines
FL
10/26/2010
1/1/2011
7,389
11/30/2010
12/1/2010
66
IBEW Local 613 and Contributing
Employers Family Health Plan (Union)
Tucker
GA
10/28/2010
1/1/2011
8,500
11/17/2010
12/3/2010
67
Blasters Drillers & Miners Union Local
No. 29 Welfare Fund
Astoria
NY
11/4/2010
1/1/2011
1,000
11/29/2010
12/6/2010
68
Cement and Concrete Workers District
Council Welfare Fund Plan
Flushing
NY
10/25/2010
1/1/2011
3,498
11/19/2010
12/6/2010
69
Construction Workers Local 147 Welfare
Fund
Jersey City
NJ
11/15/2010
1/1/2011
2,000
11/26/2010
12/6/2010
70
International Union of Bricklayers &
Allied Craftworkers
Washington
DC
10/21/2010
1/1/2011
3,758
11/19/2010
12/6/2010
71
Landscape, Irrigation and Lawn
Sprinkler Industry Health and Welfare
Plan and Trust
Los Angeles
CA
11/4/2010
1/1/2011
210
11/22/2010
12/6/2010
72
Local 803 Health and Welfare Fund
New York
NY
10/25/2010
11/1/2010
101
11/16/2010
12/6/2010
73
Louisiana Laborers Health and Welfare
Fund
Goodlettsville
TN
11/8/2010
1/1/2011
4,500
11/24/2010
12/6/2010
74
Minnesota Teamsters Construction
Division
Minneapolis
MN
10/28/2010
12/1/2010
1,248
10/28/2010
12/6/2010
75
Plumbers & Pipefitters Local Union 823
Health & Welfare Fund
Harlingen
TX
11/9/2010
1/1/2011
285
11/18/2010
12/6/2010
76
Plumbers & Steamfitters Local No. 6
Health and Welfare Fund
11/4/2010
1/1/2011
875
11/22/2010
12/6/2010
77
Teamsters Welfare Fund of Northern
New Jersey Local 723
Union
NJ
10/22/2010
1/1/2011
1,154
10/29/2010
12/6/2010
78
United Service Employees Union Local
377 Welfare Fund
Long Island
City
NY
11/4/2010
1/1/2011
1,142
11/10/2010
12/6/2010
79
United Food and Commercial Workers
and Employers Arizona Health and
Welfare Trust
Phoenix
AZ
11/11/2010
1/1/2011
516
11/27/2010
12/7/2010
80
Minnesota Cement Masons Health and
Welfare Fund
Minneapolis
MN
11/2/2010
1/1/2011
2,000
11/19/2010
12/8/2010
81
Plumbers Local Union No. 690 of
Philadelphia and Vicinity Health Plan
Philadelphia
PA
11/3/2010
1/1/2011
4,006
11/3/2010
12/8/2010
82
Sheet Metal Workers Funds of Local
Union 38
Brewster
NY
11/3/2010
1/1/2011
913
11/30/2010
12/9/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
83
United Food & Commercial Workers
Unions and Employers Midwest Health
Benefits Fund
Park Ridge
IL
10/21/2010
10/28/2010
12/1/2010
821
12/3/2010
12/9/2010
84
IBEW Local No. 640 and Arizona
Chapter NECA Health & Welfare Trust
Fund
Phoenix
AZ
11/24/2010
1/1/2011
261
12/8/2010
12/10/2010
12/15/2010
85
Local 464A United Food and
Commercial Workers Union Welfare
Service Benefit Fund
Little Falls
NJ
11/12/2010
1/1/2011
8,228
11/12/2010
12/10/2010
86
NECA-IBEW Local 480 Health and
Welfare Plan
Jackson
MI
11/11/2010
1/1/2011
1,698
11/22/2010
12/10/2010
87
Plumbers and Pipefitters Welfare Fund
of Local Union No. 719
Tucker
GA
11/19/2010
1/1/2011
480
11/29/2010
12/10/2010
88
Theatrical Teamsters Local 817
International Brotherhood of Teamsters
Welfare Fund
Lake Success
NY
11/29/2010
1/1/2011
487
11/29/2010
12/10/2010
89
Allied Welfare Fund
Staten Island
NY
11/8/2010
1/1/2011
2,523
11/8/2010
12/13/2010
90
Aerospace Contractors' Trust
Goodlettsville
TN
11/9/2010
1/1/2011
2,072
12/8/2010
12/14/2010
91
Amalgamated Industrial and Toy &
Novelty Workers of America Local 223
Sick Benefit Fund
New York
NY
11/5/2010
1/1/2011
1,546
11/16/2010
12/14/2010
92
Atlanta Plumbers & Steamfitters Fringe
Benefit Funds
Atlanta
GA
11/9/2010
1/1/2011
7,235
12/8/2010
12/14/2010
93
Central Texas Health and Benefit Trust
Fund Locals 520, 60 & 72
Plano
TX
11/10/2010
1/1/2011
500
12/7/2010
12/14/2010
94
Electricians Health Welfare & Pension
Plans I.B.E.W. Local Union No. 995
Baton Rouge
LA
11/15/2010
1/1/2011
980
12/1/2010
12/14/2010
95
Florida Laborers Health Fund
Goodletsville
TN
11/2/2010
1/1/2011
1,700
11/24/2010
12/14/2010
96
Louisiana Electrical Health Fund
Goodlettsville
TN
11/9/2010
1/1/2011
415
12/8/2010
12/14/2010
97
Memphis Construction Benefit Fund
Goodlettsville
TN
11/9/2010
1/1/2011
507
12/8/2010
12/14/2010
98
Mid-South Carpenters Regional Council
Health and Welfare Fund
Goodlettsville
TN
11/9/2010
1/1/2011
5,465
12/8/2010
12/14/2010
99
Retiree Plan of the Central States,
Southeast and Southwest Areas Health
and Welfare Fund
Rosemont
IL
10/22/2010
1/1/2011
17,440
11/23/2010
12/14/2010
100
Roofers' Unions Welfare Trust Fund
Des Plaines
IL
11/17/2010
1/1/2011
52
12/14/2010
12/14/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
101
Sheet Metal Workers Local No. 177
Health and Welfare, Pension and
Vacation Funds
Goodlettsville
TN
11/9/2010
1/1/2011
965
12/8/2010
12/14/2010
102
Sheet Metal Workers' National Health
Fund
Goodlettsville
TN
11/9/2010
1/1/2011
4,500
12/8/2010
12/14/2010
103
South Central Laborers' Health &
Welfare Fund
Goodlettsville
TN
11/9/2010
1/1/2011
330
12/8/2010
12/14/2010
104
Southeastern Pipetrades Health &
Welfare Fund
Goodlettsville
TN
11/9/2010
1/1/2011
2,270
12/8/2010
12/14/2010
105
Southern Operators Health Fund
Goodlettsville
TN
11/9/2010
1/1/2011
3,415
12/8/2010
12/14/2010
106
UFCW Local 1262 and Employers
Health & Welfare Fund
Clifton
NJ
10/21/2010
10/29/2010
12/1/2010
8,418
12/6/2010
12/14/2010
107
Electrical Welfare Trust Fund
Lanham
MD
11/4/2010
1/1/2011
78
12/7/2010
12/16/2010
108
Laborers Local 322
Massena
NY
11/22/2010
1/1/2011
368
12/17/2010
12/17/2010
109
Man-U Service Contract Health and
Welfare Fund
Beltsville
MD
11/30/2010
1/1/2011
946
12/1/2010
12/27/2010
12/17/2010
2/9/2011
110
Truck Drivers and Helpers Local 355
Health & Welfare Fund
Baltimore
MD
11/30/2010
1/1/2011
905
12/13/2010
12/17/2010
12/20/2010
111
Delmarva United Food and Commercial
Workers
Millsboro
DE
11/12/2010
1/1/2011
2,405
12/1/2010
12/20/2010
112
IBEW Local Union No. 728 Family
Healthcare Plan
Fort
Lauderdale
FL
11/29/2010
1/1/2011
31
12/15/2010
12/20/2010
113
Life Benefit Plan
Brooklyn
NY
11/17/2010
1/1/2011
3,167
12/13/2010
12/20/2010
114
SEIU Health & Welfare Fund
Washington
DC
11/30/2010
1/1/2011
1,620
12/13/2010
12/20/2010
115
Sports Arena Employees' Local 137
Welfare Fund
Cherry Hill
NJ
11/22/2010
1/1/2011
611
12/13/2010
12/20/2010
116
Hollow Metal Trust Fund
New York
NY
10/29/2010
1/1/2011
2,250
12/9/2010
12/21/2010
117
International Brotherhood of Electrical
Workers Local 1430*
North White
Plains
NY
11/12/2010
1/1/2011
315
11/12/2010
12/21/2010
118
International Union of Operating
Engineers Local Union No. 137
Briarcliff
Manor
NY
11/12/2010
1/1/2011
2,250
11/12/2010
12/21/2010
119
Michigan Conference of Teamsters
Welfare Fund
Detroit
MI
11/12/2010
2/22/2011
4/1/2011
4,343
11/22/2010
3/22/2011
12/21/2010
3/30/2011
120
Minnesota and North Dakota Bricklayers
and Allied Craftworkers
Minneapolis
MN
11/3/2010
1/1/2011
4,450
11/23/2010
12/21/2010
121
Board of Trustees for the Operating
Engineers Local 101 Health and Welfare
Fund
Kansas City
MO
11/30/2010
1/1/2011
4,465
12/23/2010
12/23/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
122
Carpenters Local No. 491 Health &
Welfare Plan
Baltimore
MD
12/17/2010
1/1/2011
1,200
12/20/2010
12/23/2010
123
Central Laborers' Welfare Fund
Jacksonville
IL
12/2/2010
1/1/2011
1,863
12/20/2010
12/23/2010
124
Central States Southeast and Southwest
Areas Health and Welfare Fund
Rosemont
IL
11/30/2010
4/1/2011
9/1/2011
326
12/13/2010
12/16/2010
12/23/2010
125
Contract Cleaners Service Employees
Benefit Trust*
St. Louis
MO
11/18/2010
1/1/2011
1,772
12/13/2010
12/23/2010
12/28/2010
126
Eighth District Electrical Benefit Fund
Salt Lake City
UT
11/16/2010
1/1/2011
137
12/13/2010
12/23/2010
127
Electrical Workers Health and Welfare
Fund
Duluth
MN
11/30/2010
1/1/2011
1,994
12/15/2010
12/23/2010
128
Health Care Employees/Employer
Dental & Medical Trust
San Joaquin
County
CA
11/30/2010
1/1/2011
744
12/16/2010
12/23/2010
129
Hotel, Restaurant & Bar Employees
Health and Welfare Fund
Duluth
MN
11/30/2010
1/1/2011
98
12/15/2010
12/23/2010
130
Northern Minnesota-Wisconsin Area
Retail Food Fringe Benefits
Duluth
MN
11/30/2010
1/1/2011
3,100
12/17/2010
12/23/2010
131
Roofers Local No. 96 Health & Welfare
Fund
Bloomington
MN
12/16/2010
12/1/2010
2,838
12/20/2010
12/23/2010
132
Service Employees 32BJ North Health
Benefit Fund
New Rochelle
NY
12/1/2010
1/1/2011
7,020
12/23/2010
12/23/2010
133
Service Employees International Union
Local 2000 Health & Welfare Fund
St. Louis
MO
12/1/2010
12/1/2010
161
12/1/2010
12/23/2010
134
Teamsters Local Union 966 Health Fund
New York
NY
11/30/2010
1/1/2011
1,519
12/13/2010
12/23/2010
135
American Radio Association Plans
Mesa
AZ
11/30/2010
1/1/2011
32
12/15/2010
12/28/2010
136
Carpenters Health and Security Trust of
Western Washington
Seattle
WA
11/19/2010
1/1/2011
8
12/15/2010
12/28/2010
137
District Council 1707 Local 389 Home
Care Employees Health & Welfare Fund
New York
NY
11/26/2010
3/1/2011
9/1/2011
7,867
12/22/2010
12/28/2010
138
Health and Welfare Plan of the Laundry,
Dry Cleaning Workers & Allied
Industries Health Fund, Workers United
Newark
NJ
11/16/2010
1/1/2011
4,000
12/16/2010
12/28/2010
139
Northern Illinois and Iowa Laborers
Health and Welfare Fund
Rock Island
IL
11/30/2010
1/1/2011
133
12/16/2010
12/28/2010
140
I.B.E.W. Local 1249 Insurance Fund
East
Syracuse
NY
11/5/2010
1/1/2011
4,104
11/5/2010
12/29/2010
141
International Brotherhood of Teamsters
Local 72 Welfare Fund
New York
NY
11/9/2010
1/1/2011
4,650
11/9/2010
12/29/2010
142
Andersen Corporation
Minneapolis
MN
11/16/2010
1/1/2011
2,852
12/21/2010
12/30/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
143
Bricklayers Insurance & Welfare Fund
New York
NY
11/29/2010
1/1/2011
3,997
12/22/2010
12/30/2010
144
Cement Masons' Local No. 502 Welfare
Fund
Bellwood
IL
12/16/2010
1/1/2011
450
12/28/2010
12/30/2010
145
IBEW Local Union No. 126 Health and
Welfare Fund
Mt. Laurel
NJ
12/1/2010
1/1/2011
3,251
12/23/2010
12/30/2010
146
Indiana Area UFCW Union Locals and
Retail Food Employers' Health and
Welfare Plan
Indianapolis
IN
12/1/2010
1/1/2011
6,885
12/28/2010
12/30/2010
147
Laborers National Health and Welfare
Fund
Columbia
MD
11/30/2010
1/1/2011
8,691
12/22/2010
12/30/2010
148
Laborers' District Council of Virginia
Health and Welfare Trust Fund
Roanoke
VA
11/30/2010
11/1/2010
296
12/21/2010
12/30/2010
149
Local 237 Teamsters Suffolk Regional
Off-Track Betting Corp. Health and
Welfare Trust Fund
New York
NY
11/29/2010
1/1/2011
328
12/23/2010
12/30/2010
150
Local 295 Welfare Fund*
Maspeth
NY
12/15/2010
1/1/2011
1,228
12/22/2010
12/30/2010
151
Local 381 Group Insurance Fund
Mineola
NY
11/24/2010
1/1/2011
1,346
12/28/2010
12/30/2010
152
Local 805 Welfare Fund
Long Island
City
NY
11/1/2010
2/1/2011
4,035
12/17/2010
12/30/2010
153
MO-Kan Teamsters and Welfare Fund
Kansas City
MO
11/29/2010
1/1/2011
1,494
12/21/2010
12/30/2010
154
Marble Industry Trust Fund
New York
NY
11/30/2010
1/1/2011
1,325
12/28/2010
12/30/2010
155
Pavers and Road Builders District
Council Welfare Fund
Flushing NY
NY
11/30/2010
1/1/2011
573
12/21/2010
12/30/2010
156
Southern Graphic Communications
Health Fund
Jonesboro
GA
11/29/2010
1/1/2011
411
12/21/2010
12/30/2010
157
Teamsters Union Local 35
Trenton
NJ
11/17/2010
1/1/2011
1,109
12/27/2010
12/30/2010
158
U.A. Local 13 & Employers Group
Insurance Plan
Rochester
NY
11/30/2010
12/1/2010
1,039
12/21/2010
12/30/2010
159
UFCW Local 1245 Health Fund
Montville
NJ
12/1/2010
1/1/2011
1/2/2011
3,486
12/22/2010
12/30/2010
160
UFCW Local 1500 Welfare Fund
Queens
Village
NY
12/17/2010
1/1/2011
16,588
12/23/2010
12/30/2010
161
UFCW Local One Health Care Fund
Oriskany
NY
12/1/2010
1/1/2011
4,335
12/28/2010
12/30/2010
162
UFCW and Participating Food Industry
Employers Tri-State Health and Welfare
Fund
Mt. Laurel
NJ
12/1/2010
1/1/2011
2,831
12/22/2010
12/30/2010
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
163
United Union of Roofers, Waterproofers
and Allied Workers Local Union No. 8
Insurance and Trust Fund
New York
NY
11/30/2010
1/1/2011
1,321
12/22/2010
12/30/2010
164
Wine and Liquor Salesmen of NJ
Brooklyn
NY
10/20/2010
1/1/2011
1,083
12/29/2010
12/30/2010
165
SPEEA, IFPTE Local 2001
Seattle, WA
WA
12/21/2010
1/1/2011
73
1/4/2011
1/12/2011
166
UFCW Production Service & Sales
District Council Health Fund
Brooklyn
NY
11/24/2010
1/1/2011
1,118
1/4/2011
1/12/2011
167
Colorado Sheet Metal Workers Local 9
Family Health Plan
Lakewood
CO
1/5/2011
7/1/2011
2,525
1/10/2011
1/18/2011
168
International Union of Operating
Engineers Local 295-295C Welfare
Trust Fund
Maspeth
NY
11/16/2010
1/1/2011
784
11/16/2010
1/18/2011
169
Operating Engineers Benefit Local 37
Baltimore
MD
11/19/2010
1/1/2011
422
1/10/2011
1/20/2011
170
Plumbers and Pipefitters Local Union
344 Health and Welfare Plan
Oklahoma
City
OK
11/29/2010
1/1/2011
3,400
1/11/2011
1/20/2011
171
Production Workers Local 148 Welfare
Plan
Jersey City
NJ
11/23/2010
3/1/2011
707
12/22/2010
3/23/2011
1/20/2011
4/1/2011
172
United Food and Commercial Workers
Unions and Participating Employers
Health and Welfare Fund
Sparks
MD
12/2/2010
1/5/2011
1/1/2011
1/11/2011
7,066
1/4/2011
2/15/2011
2/24/2011
1/20/2011
2/22/2011
2/25/2011
173
Allied Building Inspectors IUOE Local
211 Welfare Fund
New York
NY
11/29/2010
1/1/2011
2,720
12/23/2010
1/24/2011
174
Local 670 Welfare Fund
New York
NY
11/30/2010
1/1/2011
2,520
12/30/2010
1/24/2011
175
Local 7 Tile Industry Welfare Fund
New York
NY
11/30/2010
1/1/2011
1,632
1/3/2011
1/24/2011
176
NECA-IBEW Local 1205 Family Benefit
Fund
Jacksonville
FL
12/3/2010
1/1/2011
678
12/29/2010
1/24/2011
177
United Food and Commercial Workers
Retail Employees and Employers Health
and Welfare Plan
Pembroke
Pines
FL
12/29/2010
1/1/2011
850
12/29/2010
1/24/2011
178
Asbestos Workers Local 21
Dallas
TX
12/6/2010
1/1/2011
109
1/18/2011
1/31/2011
179
Carpenters Health & Welfare Fund of
Philadelphia & Vicinity
Philadelphia
PA
12/15/2010
5/1/2011
20,500
1/14/2011
1/31/2011
180
Laborers Local 980 Health and Welfare
Fund
Roanoke
VA
12/29/2010
10/1/2010
150
1/20/2011
1/31/2011
2/2/2011
181
Painters and Associated Trades Health
and Welfare Trust Fund*
Salt Lake City
UT
12/7/2010
1/1/2011
146
1/13/2011
1/31/2011
182
Railroad Maintenance & Industrial
Health and Welfare Fund
Springfield
IL
12/16/2010
5/1/2011
4,000
1/18/2011
1/31/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
183
Roofers & Waterproofers Local 136
Health & Welfare Fund
Jonesboro
GA
12/8/2010
1/1/2011
61
1/12/2011
1/31/2011
184
Teamsters Local 837 Health and
Welfare Fund*
Mt. Laurel
NJ
12/1/2010
1/1/2011
1,016
1/14/2011
1/31/2011
185
The Great Atlantic & Pacific Tea
Company, Inc.
Montvale
NJ
12/13/2010
1/1/2011
1,730
1/21/2011
1/31/2011
2/2/2011
186
The Welfare Fund of Plumbers Local
Union #200
Ronkonkoma
NY
12/2/2010
1/1/2011
1,484
1/19/2011
1/31/2011
187
UFCW Unions' and Employers' Health
and Welfare Plan of Central Ohio
Columbus
OH
12/1/2010
1/1/2011
2,316
1/13/2011
1/31/2011
188
Amalgamated Meat Cutters & Retail
Store Employees Union Local 342
Welfare Fund
New York
NY
12/1/2010
9/22/2011
1/1/2011
4,544
1/7/2011
1/11/2011
2/16/2011
10/11/2011
2/1/2011
2/23/2011
10/28/2011
189
Amalgamated Meat Cutters Employees
Union Local 342 Great Atlantic & Pacific
Tea Company H&W Fund
New York
NY
12/1/2010
9/22/2011
1/1/2011
1,378
1/7/2011
10/11/2011
2/1/2011
10/28/2011
190
Beverage and Brewery Drivers Local
No. 67 Health and Welfare Trust Fund
Oxon Hill
MD
12/8/2010
3/1/2011
1,621
1/13/2011
2/1/2011
191
IAM District 15 Health Fund
Brooklyn
NY
11/30/2010
1/1/2011
3,213
1/14/2011
2/1/2011
192
Robert F. Kennedy Medical Plan
Keene
CA
12/9/2010
9/1/2011
6,565
1/11/2011
2/1/2011
193
Alabama Laborers Health and Welfare
Fund
Goodlettsville
TN
12/22/2010
2/1/2011
1,111
1/26/2011
2/7/2011
2/7/2011
2/14/2011
194
Louisiana Carpenters Regional Council
Baton Rouge
LA
10/21/2010
1/1/2011
2,382
11/29/2010
2/7/2011
195
Sheet Metal #10 Benefit Fund
Maplewood
MN
12/16/2010
1/1/2011
6,223
12/16/2010
2/7/2011
2/7/2011
2/17/2011
196
Sheet Metal Workers' Health and
Welfare Fund of North Carolina
High Point
NC
12/22/2010
3/1/2011
590
1/27/2011
2/7/2011
197
Shopmen's Iron Workers Health Benefit
and Pension Plans Local Union 502
Limerick
PA
11/22/2010
1/1/2011
701
1/10/2011
2/7/2011
198
United Food and Commerical Workers
Local 400 and Employers Health and
Welfare Fune
Charleston
WV
12/29/2010
1/1/2011
4,525
1/28/2011
2/7/2011
2/15/2011
199
Denver Grocers Health Benefit Plan
Arvada
CO
11/30/2010
1/1/2011
432
1/26/2011
2/9/2011
200
Plumbers and Pipefitters Local 430
Health and Welfare Fund
Plano
TX
11/4/2010
1/1/2011
2,035
12/8/2010
2/9/2011
201
Southern Painters Welfare Fund
Metairie
LA
11/19/2010
1/1/2011
2,557
12/8/2010
2/9/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
202
Westchester Putnam Counties Heavy &
Highway Laborers Health & Welfare
Fund, Local 60
Hawthorne
NY
11/30/2010
1/1/2011
2,212
1/5/2011
2/10/2011
203
UFCW Local 152 Health and Welfare
Fund
Mt. Laurel
NJ
12/2/2010
1/1/2011
3,094
2/3/2011
2/11/2011
2/15/2011
204
Division 1181 A.T.U. - New York
Welfare Fund
Ozone Park
NY
12/2/2010
1/1/2011
16,000
1/12/2011
2/7/2011
2/14/2011
4/1/2011
205
Southeast Laborers Health Fund
Goodlettsville
TN
1/31/2011
4/1/2011
6,125
2/3/2011
2/14/2011
206
Southeastern Carpenters and
Millwrights Health Trust
Goodlettsville
TN
1/31/2011
4/1/2011
4,500
2/3/2011
2/14/2011
207
Tazewell County, Illinois
Pekin
IL
12/8/2010
12/1/2010
21
1/24/2011
2/14/2011
208
Johnson & Towers, Inc.
Mt Laurel
NJ
12/30/2010
10/1/2010
1/1/2011
328
2/4/2011
2/15/2011
209
Local 1964 ILA Health & Insurance Plan
Ridgefield
Park
NJ
12/16/2010
8/1/2011
771
2/10/2011
2/15/2011
210
Local 580 Benefit Funds
New York
NY
12/7/2010
1/1/2011
4,928
2/4/2011
2/15/2011
211
Local 99 Health & Welfare Fund
Newark
NJ
11/23/2010
1/1/2011
1/2/2011
920
12/17/2010
2/15/2011
212
Ohio Conference of Teamsters &
Industry Health & Welfare Fund
Toledo
OH
1/20/2011
3/1/2011
200
2/8/2011
2/15/2011
213
Plasterers & Cement Masons Local
Union No. 148 Health and Welfare Plan
Jonesboro
GA
1/26/2011
7/1/2011
187
2/9/2011
2/15/2011
2/16/2011
214
UFCW Local 888
Mount Vernon
NY
11/30/2010
1/1/2011
4,016
1/28/2011
2/15/2011
215
United Food and Commercial Workers
Unions and Employers Health and
Welfare Fund Atlanta
Atlanta
GA
1/7/2011
4/1/2011
20,133
2/8/2011
2/23/2011
2/15/2011
2/16/2011
3/1/2011
216
Asbestos Workers Local 12 Abatement
Health Fund
New York
NY
11/30/2010
1/1/2011
510
2/10/2011
2/16/2011
217
Employers and Operating Engineers
Local No. 520 Health and Welfare Fund
Swansea
IL
12/6/2010
1/1/2011
3,609
1/14/2011
2/16/2011
2/17/2011
218
Local 463 Health Fund
Jamaica
NY
11/23/2010
11/1/2010
750
2/14/2011
2/16/2011
219
Midwest Operating Engineers Fringe
Benefit Funds*
Countryside
IL
11/5/2010
1/1/2011
45,000
12/14/2010
2/16/2011
220
Midwest Operating Engineers Health
and Welfare Fund
Countryside
IL
2/10/2011
1/1/2011
1,900
2/10/2011
2/16/2011
221
Teamsters Local 277 Welfare Fund
Hempstead
NY
1/19/2011
3/1/2011
791
2/14/2011
2/16/2011
222
Plumbers and Steamfitters Local Union
247 Health and Welfare Fund*
Pineville
LA
12/7/2010
1/1/2011
191
1/5/2011
2/17/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
223
South Central UFCW Unions and
Employers Health and Welfare Trust
Dallas
TX
1/6/2011
3/1/2011
18,275
2/9/2011
2/17/2011
224
Storeworkers Security Plan
New York
NY
12/30/2010
2/1/2011
567
2/3/2011
2/17/2011
3/31/2011
225
Teamsters Local No. 20 Insurance Fund
Toledo
OH
12/6/2010
1/1/2011
19
2/3/2011
2/17/2011
226
Masters, Mates & Pilots Health & Benefit
Plan
Linthicum
Hts.
MD
11/22/2010
1/1/2011
2,914
1/7/2011
2/18/2011
227
International Association of Bridge,
Structural, Ornamental and Reinforcing
Ironworkers Local Union No. 79 Health
Fund
Norfolk
VA
2/4/2011
5/1/2011
500
2/16/2011
2/22/2011
228
International Association of Heat & Frost
Insulators & Asbestos Workers Local 18
Indianapolis
IN
1/28/2011
3/1/2011
674
2/16/2011
2/22/2011
229
North Central Illinois Laborers' Health
and Welfare Fund
Peoria
IL
1/26/2011
7/1/2011
6,285
2/14/2011
2/22/2011
230
Teamsters Local 641 Welfare Fund
Union
NJ
1/25/2011
3/1/2011
1,974
2/15/2011
2/22/2011
231
Will County Local 174 Carpenters
Welfare Fund
Joliet
IL
1/28/2011
3/1/2011
450
2/16/2011
2/22/2011
232
Amalgamated Meat Cutters & Retail
Store Employees Union Local 342
Health Care Fund
New York
NY
12/1/2010
1/1/2011
3,020
2/16/2011
2/23/2011
233
Ironworkers Local Union No. 167
Welfare Fund
Goodlettsville
TN
1/7/2011
8/1/2011
625
2/15/2011
2/23/2011
234
Operating Engineers Local No. 474
Health & Welfare Fund
Goodlettsville
TN
1/7/2011
7/1/2011
440
2/14/2011
2/23/2011
235
Plumbers & Steamfitters Local No. 177
Health & Welfare Fund
Goodlettsville
TN
1/7/2011
8/1/2011
450
2/15/2011
2/23/2011
236
Plumbers and Fitters Local No. 110
Benefit Trust Fund
Norfolk
VA
1/7/2011
5/1/2011
875
2/14/2011
2/23/2011
237
Sheet Metal Workers Welfare Fund,
Local No. 85
Atlanta
GA
1/7/2011
7/1/2011
2,125
2/14/2011
2/23/2011
238
Tennessee Valley Painters Health Fund
Goodlettsville
TN
1/7/2011
5/1/2011
490
2/14/2011
2/23/2011
239
International Brotherhood of Electrical
Workers Local 1501
Cockeysville
MD
11/30/2010
1/1/2011
396
2/18/2011
2/24/2011
240
Ohio AFSCME Care Plan
Cleveland
OH
1/28/2011
3/1/2011
26,500
2/17/2011
2/24/2011
241
Roofer's Local No. 176 Health and
Welfare Fund
Goodlettsville
TN
1/7/2011
5/1/2011
82
2/14/2011
2/24/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
242
Security, Police and Fire Professionals
of America and Participating Employers'
Health and Welfare Trust Fund
Roseville
MI
1/31/2011
4/1/2011
5,528
2/16/2011
2/24/2011
243
United Production Workers Union Local
17-18 Welfare Fund
Brooklyn
NY
2/11/2011
3/1/2011
2,049
2/17/2011
2/24/2011
244
HERE Local No. 274 Health Fund*
Philadelphia
PA
12/6/2010
1/1/2011
1,310
2/18/2011
2/25/2011
245
Sacramento Independent Hotel,
Restaurant and Tavern Employees
Welfare Trust
Sacramento
CA
1/31/2011
7/1/2011
194
2/21/2011
3/1/2011
246
Specialties & Paper Products Union No.
527 Health & Welfare Fund
Mableton
GA
12/10/2010
1/1/2011
1,725
2/24/2011
3/1/2011
247
United Food and Commercial Workers'
Union Local 919 and Contributing
Employers' Food Health and Welfare
Fund
Farmington
CT
11/2/2010
8/1/2011
7,048
2/23/2011
3/1/2011
248
Bakery, Confectionery, Tobacco
Workers & Grain Millers, Local 102
Welfare Fund
Ozone Park
NY
1/11/2011
1/1/2011
550
2/3/2011
3/2/2011
249
Pipefitters Local Union 195 Health &
Welfare Fund
Nederland
TX
2/16/2011
4/1/2011
291
2/28/2011
3/2/2011
250
Teamsters Local 97 Benefits Fund
Union
NJ
2/8/2011
8/1/2011
708
2/23/2011
3/2/2011
251
West Virginia Laborers' Trust Fund
Charleston
WV
2/3/2011
4/1/2011
1,857
2/28/2011
3/2/2011
252
Allied Security Health and Welfare Fund
Mineola
NY
12/6/2010
1/1/2011
3,450
2/16/2011
3/3/2011
253
Iron Workers Local No. 16 Health Fund
Baltimore
MD
1/5/2011
1/1/2011
1,400
2/18/2011
3/3/2011
254
South Jersey Public Employees Health
and Welfare Fund
Williamstown
NJ
12/21/2010
1/1/2011
600
2/24/2011
3/4/2011
255
Madelaine/Local 1222 Welfare Fund
Long Beach
NY
2/22/2011
4/1/2011
566
2/28/2011
3/7/2011
256
Teamsters Local 237 Welfare Fund
New York
NY
11/22/2010
1/1/2011
51,649
2/18/2011
3/8/2011
257
Minneapolis Retail Meat Cutters and
Food Handlers Health & Welfare Fund
Bloomington
MN
1/27/2011
3/1/2011
10,720
3/7/2011
3/10/2011
258
Shreveport Electrical Health and
Welfare Fund
Shreveport
LA
2/25/2011
4/1/2011
1,085
3/3/2011
3/10/2011
259
Southeastern Iron Workers Health Care
Plan
Pittsburgh
PA
12/21/2010
2/1/2011
5,143
3/2/2011
3/10/2011
260
United Food and Commercial Workers
Local #789 and St. Paul Food
Employers Health Care Plan
Bloomington
MN
1/27/2011
3/1/2011
3,427
3/1/2011
3/10/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
261
Carpenters District Council of Kansas
City Welfare Plan
Kansas City
MO
2/9/2011
4/1/2011
20,898
2/24/2011
3/11/2011
262
Chicago Plastering Institute Health &
Welfare Fund
Alsip
IL
2/3/2011
4/1/2011
400
2/23/2011
3/11/2011
263
Fulton Fish Market Welfare Fund
New York
NY
12/6/2010
1/1/2011
1,211
3/7/2011
3/11/2011
264
Ironworkers Local No. 12 Health Fund
Albany
NY
1/31/2011
7/1/2011
605
2/25/2011
3/11/2011
265
Plumbers & Steamfitters Local 141
Health & Welfare Fund
Shreveport
LA
2/15/2011
5/1/2011
946
2/28/2011
3/11/2011
266
Asbestos Workers Local 42 Welfare
Fund
Columbia
MD
1/4/2011
7/1/2011
179
3/14/2011
3/17/2011
267
Building Laborers Local 310 Health &
Welfare Fund
Cleveland
OH
2/14/2011
5/1/2011
1,690
2/23/2011
3/17/2011
268
Cement Masons and Plasterers Local
518 Health Care Fund
Kansas City
MO
1/7/2011
8/1/2011
1,580
2/28/2011
3/17/2011
269
Local 306 Theatrical Employees Health
Fund
Lynbrook
NY
2/25/2011
4/1/2011
878
3/1/2011
3/11/2011
3/17/2011
270
Midwestern Teamsters Health and
Welfare Fund
Itasca
IL
1/24/2011
3/1/2011
392
2/23/2011
3/17/2011
271
Central Coast Trust Fund*
Watsonville
CA
2/14/2011
8/1/2011
791
3/1/2011
3/21/2011
272
District Council 1707 Health & Benefit
Fund
New York
NY
1/24/2011
4/1/2011
1,137
3/8/2011
3/21/2011
273
Excavators Union Local No. 731
New York
NY
11/22/2010
1/1/2011
1,510
3/8/2011
3/21/2011
274
Hotel Employees and Restaurant
Employees International Union Welfare
Fund
White Sulphur
Springs
WV
2/18/2011
4/1/2011
4,044
3/8/2011
3/21/2011
275
Jacksonville Plumbers and Pipefitters
Health and Welfare Fund
Jacksonville
FL
2/10/2011
9/1/2011
1,075
3/7/2011
3/21/2011
276
Plasterers & Cabinet Makers Health
Fund
Minneapolis
MN
2/14/2011
4/1/2011
1,033
3/3/2011
3/21/2011
277
Oklahoma/Arkansas Carpenters Health
& Welfare Fund
Dallas
TX
2/1/2011
7/1/2011
1,649
3/10/2011
3/30/2011
278
United Food and Commercial
WorkersLocal No.1529 and Employers
Health and Welfare Trust Fund
Memphis
TN
3/1/2011
6/1/2011
10,459
3/1/2011
3/30/2011
279
Carpenters Local 127
Tucker
GA
3/3/2011
6/1/2011
304
3/21/2011
3/31/2011
280
Plumbers and Pipefitters Local Union
No. 803 Health and Welfare Fund
Jacksonville
FL
3/7/2011
8/1/2011
784
3/24/2011
3/31/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
281
Road Carriers Local 707 Welfare Fund -
Plan H
Hempstead
NY
3/10/2011
9/1/2011
156
3/25/2011
3/31/2011
282
Southern California Local Union 831-
Employer Health Fund
El Monte
CA
12/2/2010
1/1/2011
2,875
12/20/2010
3/31/2011
283
Stephenson County Board
Freeport
IL
12/7/2010
1/1/2011
348
2/23/2011
3/30/2011
3/31/2011
284
Iron Workers Local Union No. 28 Health
and Welfare Fund
Roanoke
VA
12/22/2010
1/1/2011
570
3/10/2011
4/1/2011
285
Plumbers and Pipefitters Local No. 421
Health and Welfare Plan
Macon
GA
11/30/2010
1/1/2011
2,000
3/7/2011
4/1/2011
286
IUPAT District Council 78
South Florida
FL
3/2/2011
1/1/2011
2,223
3/23/2011
4/4/2011
287
Journeymen & Apprentices Local 188
Tucker
GA
3/2/2011
7/1/2011
1,070
3/24/2011
4/4/2011
288
Security Workers Health and Welfare
Fund
Baltimore
MD
3/2/2011
4/1/2011
1,527
3/17/2011
5/12/2011
4/4/2011
7/7/2011
289
Southern Tier Building Trades Welfare
Plan
Jamestown
NY
3/3/2011
5/1/2011
690
3/3/2011
4/4/2011
290
Teamsters Local 863 Welfare Fund
Mountainside
NJ
3/2/2011
4/1/2011
2,722
3/15/2011
4/4/2011
291
Washington Wholesalers Health and
Welfare Fund
Columbia
MD
2/18/2011
4/1/2011
1,873
3/17/2011
4/4/2011
292
Carpenters Industrial Council Trust Fund
Charleston
WV
1/24/2011
2/1/2011
4,295
3/16/2011
4/6/2011
293
Plumbers and Steamfitters Local 60
Health and Welfare Fund
New Orleans
LA
3/16/2011
7/1/2011
2,234
3/29/2011
4/7/2011
294
Fleet Owners Insurance Fund
Cleveland
OH
2/4/2011
1/1/2011
350
3/28/2011
4/11/2011
295
IRC-CMMIC Local 721
City of
Industry
CA
3/8/2011
2/1/2011
7/1/2011
875
3/28/2011
4/11/2011
296
Local 734 Welfare Fund
Chicago
IL
3/17/2011
5/1/2011
514
4/7/2011
4/11/2011
297
New Jersey B.A.C. Health Fund
Fairfield
NJ
12/6/2010
1/1/2011
3,346
3/2/2011
4/11/2011
298
Southeastern Hotel Employees &
Restaurant Employees Health & Welfare
Fund
Conyers
GA
3/16/2011
7/1/2011
1,817
3/28/2011
4/11/2011
299
Teamsters Local 617 Welfare Fund*
Ridgefield
NJ
2/3/2011
3/1/2011
22
4/5/2011
4/13/2011
300
USW Local 1-0318 Health and Welfare
Trust Fund*
Flushing
NY
3/3/2011
4/1/2011
2,039
4/12/2011
4/13/2011
301
United Association of Journeymen and
Apprentices Local 198 AFL-CIO Health
and Welfare Trust
Baton Rouge
LA
3/3/2011
9/1/2011
2,606
4/12/2011
4/13/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
302
Welfare Fund of the International Union
of Operating Engineers Local 15, 15A,
15C, 15D AFL-CIO
New York
NY
11/19/2010
1/1/2011
1/2/2011
9,777
4/12/2011
4/13/2011
303
Local 475 IUE-CWA
Pelham
NY
12/6/2010
1/1/2011
489
3/29/2011
4/18/2011
304
MVM, Inc.*
Ashburn
VA
4/8/2011
12/1/2010
174
4/11/2011
4/19/2011
305
UFCW San Diego Employers Health &
Welfare Trust*
San Diego
CA
3/7/2011
4/1/2011
54
4/18/2011
4/20/2011
306
SEIU Healthcare IL Home Care & Child
Care Fund
Chicago
IL
3/29/2011
5/1/2011
5,897
3/29/2011
4/21/2011
307
Bakers Union and FELRA Health and
Welfare Fund
Sparks
MD
12/2/2010
1/1/2011
213
4/12/2011
4/22/2011
308
CWA Local 1182 Security Benefits Fund
New York
NY
3/29/2011
7/1/2011
7,158
3/29/2011
4/25/2011
309
CWA Local 1183 Health and Welfare
Fund
New York
NY
3/29/2011
9/1/2011
738
3/29/2011
4/25/2011
310
Detroit and Vicinity Trowel Trades
Health and Welfare Fund
Troy
MI
3/31/2011
5/1/2011
2,573
4/19/2011
4/25/2011
311
Local 485 Health and Welfare Fund
Columbia
MD
4/1/2011
5/1/2011
660
4/20/2011
4/25/2011
312
Sheet Metal Workers Local 15 Medical
Fund
Goodlettsville
TN
3/29/2011
8/1/2011
1,480
3/29/2011
4/27/2011
5/5/2011
313
Joint Benefit Trust
Livermore
CA
3/18/2011
5/1/2011
2,450
5/3/2011
5/4/2011
314
National Allied Workers Union Insurance
Trust Fund
Chicago
IL
2/28/2011
4/1/2011
101
3/23/2011
5/4/2011
315
Plumbers Local Union No. 519 Health
and Welfare Fund
Pembroke
Pines
FL
3/30/2011
5/1/2011
57
4/25/2011
5/5/2011
316
Rodman Local 201 Welfare Fund
Towson
MD
1/13/2011
7/1/2011
335
3/21/2011
5/5/2011
317
IATSE Atlanta Health & Welfare Fund
Jonesboro
GA
4/7/2011
7/1/2011
326
5/2/2011
5/11/2011
318
Carolina-Virginia UFCW and Employer
Norfolk
VA
4/15/2011
7/1/2011
2,990
5/10/2011
5/12/2011
319
Laborers Local 35 Health Fund
Utica
NY
2/28/2011
1/1/2011
407
5/2/2011
5/12/2011
320
Tennessee Valley Operating Engineers
Goodlettsville
TN
9/16/2010
11/1/2010
2,310
12/21/2010
5/12/2011
321
IBEW Local 508 and Eastern Division,
Georgia Division NECA Health and
Welfare Fund
Tucker
GA
4/1/2011
7/1/2011
1,029
4/1/2011
4/22/2011
5/16/2011
322
Milwaukee Carpenters District Council
Health Fund
Pewaukee
WI
4/29/2011
6/1/2011
533
5/11/2011
5/19/2011
323
NECA-IBEW Local 176 Health and
Welfare Fund
Joliet
IL
4/26/2011
6/1/2011
12
5/12/2011
5/19/2011
324
Teamsters Local 456 Health and
Welfare Fund
Elmsford
NY
2/24/2011
1/1/2011
2,494
4/18/2011
5/19/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
325
Harris Farms, Inc.
COALINGA
CA
4/14/2011
9/1/2011
324
5/10/2011
5/20/2011
326
Health Fund 917
Floral Park
NY
3/31/2011
5/1/2011
2,779
4/22/2011
5/20/2011
327
Local Union 854 IBT Health and Welfare
Benefits Fund
Garden City
NY
3/24/2011
5/1/2011
1,885
4/25/2011
5/20/2011
328
Oregon Processors Employees Trust
Portland
OR
4/13/2011
6/1/2011
1,100
5/6/2011
5/20/2011
329
General Building Laborers Local 66
Welfare Fund
Melville
NY
4/12/2011
7/1/2011
2,104
5/5/2011
5/25/2011
330
Chicago Regional Council of Carpenters
Welfare Fund
Chicago
IL
4/21/2011
7/1/2011
3,735
5/19/2011
5/26/2011
331
ILA 1478-2 Welfare Fund
Newark
NJ
3/23/2011
7/1/2011
1,120
5/11/2011
5/26/2011
332
New Mexico UFCW Union's &
Employers' Health & Welfare Plan
Albuquerque
NM
4/21/2011
6/1/2011
996
5/18/2011
8/29/2011
5/26/2011
9/7/2011
333
Plumbers and Steamfitters Local Union
No. 43 Health and Welfare Fund
Goodlettsville
TN
4/29/2011
7/1/2011
1,819
5/19/2011
6/1/2011
334
Day Care Council Local 205 DC 1707
Welfare Fund
New York
NY
4/15/2011
7/1/2011
10,822
5/6/2011
6/3/2011
335
Roofers' Local 195 Health and Accident
Plan
Cicero
NY
4/28/2011
7/1/2011
250
4/28/2011
6/3/2011
336
Arkansas Pipe Trades Heath and
Welfare Fund
Oklahoma
City
OK
5/9/2011
7/1/2011
754
5/24/2011
6/6/2011
337
Chicago Laborers' Welfare Fund
Chicago
IL
4/29/2011
6/1/2011
211
5/11/2011
6/6/2011
338
Insulators Local 112 Heath and Welfare
Trust Fund
Lake Charles
LA
5/9/2011
7/1/2011
27
5/24/2011
6/6/2011
339
Southeastern SEIU Health and Welfare
Fund
Jonesboro
GA
4/18/2011
7/1/2011
37
5/10/2011
6/7/2011
340
Western Teamsters Welfare Trust
Seattle
WA
5/13/2011
9/1/2011
353
6/3/2011
6/9/2011
341
Teamsters and Employers Welfare Trust
of Illinois*
Springfield
IL
4/29/2011
5/1/2011
10
4/29/2011
6/13/2011
342
West Virginia Pipe Trades Health &
Welfare Fund
Wellsburg
WV
4/30/2011
6/1/2011
2,579
4/30/2011
6/13/2011
343
International Brotherhood Electrical
Workers Local 139 Welfare Fund*
Elmira
NY
5/16/2011
7/1/2011
6
6/7/2011
6/14/2011
344
Laborers Local 17 Health Benefit Fund
Newburgh
NY
11/8/2010
1/1/2011
1,700
6/15/2011
6/27/2011
345
Building Service 32BJ Health Fund*
New York
NY
5/3/2011
7/1/2011
35,888
5/3/2011
7/28/2011
6/29/2011
8/22/2011
Total Enrollment
1,051,624
Section B: Section B lists plans that did not apply for a one year waiver under the initial policy but did apply for, and received, a waiver good
through 2013, under the June 17, 2011 policy. Plans must submit annual information about their plan and comply with requirements to ensure that
their enrollees understand the limits of their coverage.
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
1
Employer-Teamsters Local Nos. 175 &
505 Health and Welfare Fund
Charleston
WV
11/24/2010
9/21/2011
1/1/2011
1/1/2012
2,857
12/28/2010
9/26/2011
12/30/2010
10/14/2011
2
United Benefit Fund
Middle Village
NY
11/24/2010
9/21/2011
1/1/2011
1/1/2012
5,355
12/17/2010
10/17/2011
1/12/2011
11/14/2011
3
Wine, Liquor & Distillery Workers Union
Local 1-D
Brooklyn
NY
10/18/2010
12/1/2010
1/1/2011
739
1/11/2011
5/30/2011
1/18/2011
6/27/2011
4
Amalgamated Meat Cutters & Retail
Food Store Employees Union Local 342
Health Care Fund
New York
NY
12/1/2010
9/22/2011
1/1/2011
5,151
1/18/2011
10/11/2011
1/31/2011
10/28/2011
5
District No. 9, International Association
of Machinists and Aerospace Workers
Welfare Plan
St. Louis
MO
4/28/2011
7/1/2011
7
5/17/2011
6/20/2011
6
Southern Illinois Laborers and
Employers Health & Welfare Fund
Cairo
IL
4/14/2011
8/1/2011
550
5/11/2011
6/20/2011
7
Local 237 Teamsters Brentwood School
District Welfare Trust Fund
Islandia
NY
5/26/2011
7/1/2011
388
5/26/2011
6/22/2011
8
Local 237 Teamsters North Babylon
School District Health and Welfare Fund
Islandia
NY
5/26/2011
7/1/2011
295
5/26/2011
6/22/2011
9
Local 237 Teamsters Plainview-Old
Bethpage School District Health and
Welfare Fund
Islandia
NY
5/26/2011
7/1/2011
550
5/26/2011
6/22/2011
10
SEIU Local 4 Health & Welfare Fund
Chicago
IL
5/31/2011
7/1/2011
5,727
6/20/2011
6/27/2011
11
National Roofers Union and Employees
Joint Health and Welfare Trust Fund
Denver
CO
6/1/2011
6/1/2011
38
6/7/2011
6/28/2011
12
IBEW Local 139 Welfare Fund
Elmira
NY
6/1/2011
7/1/2011
435
6/1/2011
6/29/2011
7/6/2011
7/11/2011
13
IBEW-NECA Southwestern Health and
Benefit fund
Dallas
TX
4/6/2011
9/1/2011
525
4/6/2011
6/29/2011
14
Inter Lakes Health
Ticondiroga
NY
5/26/2011
11/1/2010
137
6/24/2011
6/29/2011
15
Plumbers and Steamfitters Local 100 of
Dallas Health and Welfare Fund
Plano
TX
6/16/2011
7/1/2011
901
6/17/2011
6/29/2011
16
San Diego Teamsters Health & Welfare
Trust Fund
San Diego
CA
5/31/2011
7/1/2011
58
5/31/2011
6/29/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
17
Texas Pipe Trades Health Benefit Fund
Plano
TX
4/22/2011
7/1/2011
4,103
6/1/2011
6/29/2011
18
Central New York Laborers' Health and
Welfare Fund
East
Syracuse
NY
5/12/2011
7/1/2011
998
6/24/2011
7/1/2011
19
IUOE Local 14-14B Welfare Fund
Flushing
NY
6/1/2011
7/1/2011
3,714
6/1/2011
7/1/2011
7/6/2011
20
Plumbers and Steamfitters Local # 106
Health and Welfare Fund
Lake Charles
LA
6/8/2011
7/1/2011
713
6/28/2011
7/5/2011
21
CWA 1181 Security Fund
Queens
NY
6/1/2011
7/1/2011
1,260
6/29/2011
7/6/2011
22
Empire State Carpenters Welfare Fund
Hauppauge
NY
5/31/2011
7/1/2011
5,028
6/20/2011
7/6/2011
23
Laborers Local 190 Welfare Fund
Glenmont
NY
5/27/2011
8/1/2011
950
6/27/2011
7/6/2011
24
United Plant & Production Workers
Local 175 Welfare Fund
Rosyln
Heights
NY
6/1/2011
7/1/2011
653
6/1/2011
7/6/2011
25
Pointers, Cleaners & Caulkers Welfare
Fund
New York
NY
5/25/2011
7/1/2011
2,498
6/15/2011
7/7/2011
26
Washington Teamsters Welfare Trust
Seattle
WA
6/1/2011
7/1/2011
72
6/28/2011
7/11/2011
27
Aristacare Health Services
South
Plainfield
NJ
6/20/2011
8/1/2011
287
7/6/2011
7/12/2011
28
National Asbestos Workers Medical
Plan
Columbia
MD
6/17/2011
8/1/2011
48
7/7/2011
7/12/2011
29
Plasterers' Union Local 8 Health &
Welfare Fund
Philadelphia
PA
4/12/2011
5/1/2011
349
6/21/2011
7/14/2011
30
Recycling and General Industrial Union
Local 108 Welfare Fund
New York
NY
12/1/2010
9/22/2011
1/1/2011
1/1/2012
3,023
4/15/2011
9/22/2011
7/20/2011
12/13/2011
31
Local 522 Welfare Fund of New York &
New Jersey
Brooklyn
NY
6/15/2011
8/1/2011
1,810
7/14/2011
7/21/2011
32
IPM Health & Welfare Trust of California
Riverside
CA
6/7/2011
9/1/2011
678
7/15/2011
7/25/2011
33
Road & Heavy Construction Laborers
Local 1298 Nassau & Suffolk Counties
Hempstead
NY
6/8/2011
7/1/2011
2,095
7/15/2011
7/25/2011
34
City of Cohoes
Cohoes
NY
6/30/2011
7/1/2011
92
6/30/2011
7/26/2011
35
Construction Industry Laborers Welfare
Fund
Overland
Park
KS
12/1/2010
1/1/2011
9,560
7/21/2011
7/29/2011
36
Union Roofers Health and Welfare Fund
Downey
CA
7/7/2011
9/1/2011
922
7/27/2011
7/29/2011
37
Minnesota Laborers Health and Welfare
Fund
Mendota
Heights
MN
12/6/2010
1/1/2011
20,554
7/5/2011
8/8/2011
38
Local 298 Health Benefit Fund II
Valley Stream
NY
7/19/2011
8/1/2011
643
7/19/2011
8/9/2011
39
United Workers Health Fund 621A
Island Park
NY
7/27/2011
8/1/2011
201
7/27/2011
8/9/2011
40
Bonita Packing Co
Santa Maria
CA
6/16/2011
8/1/2011
31
8/2/2011
8/10/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
41
Western Labor Alliance Health and
Welfare Trust Fund
Rancho
Cucamonga
CA
6/28/2011
8/1/2011
115
6/28/2011
8/10/2011
42
Electric Motor Shop, Inc.
Fresno
CA
7/29/2011
1/1/2012
60
7/29/2011
8/11/2011
43
IRON WORKERS WELFARE FUND
Metairie
LA
7/13/2011
8/1/2011
1,668
7/13/2011
8/12/2011
44
United Food & Commercial Workers
Union Local 1546 Health & Welfare
Fund
Chicago
IL
7/14/2011
9/1/2011
12,300
7/14/2011
8/12/2011
45
BAC Local Union 15 Welfare Fund
Overland
Park
KS
3/1/2011
4/1/2011
1,070
8/8/2011
8/17/2011
46
CBT Transportation Group Employee
Benefit
Brooklyn
NY
7/29/2011
9/1/2011
9/12/2011
708
8/11/2011
8/17/2011
47
Taylor Farms California, Inc.
Salinas
CA
8/4/2011
9/1/2011
3,321
8/4/2011
8/17/2011
48
Local 50 Benefit Services Trust
St. Louis
MO
5/9/2011
9/1/2011
78
7/29/2011
8/24/2011
49
Plumbers, Pipe Fitters and Apprentices
Local No. 112 Health Fund
Binghamton
NY
7/27/2011
1/1/2011
1,650
7/27/2011
8/24/2011
50
Iron Workers Local 568
Cumberland
MD
7/15/2011
9/1/2011
339
7/15/2011
8/25/2011
51
Local No. 1 Health Fund
Chicago
IL
5/31/2011
7/1/2011
3,511
7/28/2011
8/29/2011
52
Road Carriers Local 707 Welfare Fund
Hempstead
NY
7/11/2011
9/1/2011
3,137
7/27/2011
9/7/2011
53
United Health and Welfare Fund
Englewood
Cliffs
NJ
7/19/2011
8/1/2011
65
8/8/2011
9/13/2011
54
Local 1205 Funds
Farmingdale
NY
6/2/2011
7/1/2011
1,994
8/17/2011
9/20/2011
55
Iron Workers Local No. 8 Welfare Fund
Milwaukee
WI
7/14/2011
6/1/2011
39
9/20/2011
9/23/2011
56
Brick Masons Health and Welfare Trust
West Covina
CA
4/4/2011
5/1/2011
180
9/21/2011
9/27/2011
57
I.B.E.W. Local 325 Joint Trust Fund
Binghamton
NY
9/12/2011
9/1/2011
258
9/12/2011
9/28/2011
58
Operating Engineers Health and Welfare
Fund Local 12
Pasadena
CA
5/25/2011
7/1/2011
22,840
9/22/2011
10/3/2011
59
Mid-South Iron Workers Welfare Plan
Tulsa
OK
9/21/2011
12/1/2011
975
9/21/2011
10/5/2011
60
Local 108 Health Expense Benefit Fund
Irvington
NJ
9/15/2011
8/1/2011
2,415
9/27/2011
10/11/2011
61
Operating Engineers Local 99 & 99A
Health & Welfare Plan
Baltimore
MD
9/22/2011
1/1/2011
170
10/4/2011
10/14/2011
62
Board of Trustees of the Sheet Metal
Workers Local 36 Arkansas Welfare
Fund
St. Louis
MO
9/21/2011
1/1/2012
292
9/21/2011
10/17/2011
63
Carpenters and Joiners Welfare Fund
Bloomington
MN
9/21/2011
1/1/2012
21,364
10/11/2011
10/19/2011
64
Employers and Cement Masons Local
90 Health and Welfare Fund
Troy
IL
9/22/2011
8/1/2011
611
10/12/2011
10/19/2011
65
New Orleans Electrical Health Plan
Goodlettsville
TN
7/18/2011
1/1/2012
1,968
7/18/2011
10/26/2011
66
Local 303 I.A.T.S.E. Municipal
Employees Health & Welfare Fund
New York
NY
5/3/2011
5/1/2011
570
10/25/2011
10/31/2011
Applicant
City**
State
Application
Date
Plan
Effective
Date
Number
of
Enrollees
Application
Completed
Waiver
Date
67
FELRA & UFCW Health and Welfare
Fund
Sparks
MD
9/9/2011
1/1/2011
28,533
10/3/2011
11/14/2011
68
Upstate New York Engineers Health
Fund
Syracuse
NY
9/9/2011
4/1/2012
5,698
9/27/2011
11/14/2011
69
Sheet Metal Workers Local #270
Welfare Fund
Oklahoma
City
OK
9/21/2011
2/1/2012
292
12/7/2011
12/12/2011
70
Carpenters Health & Security Plan of
Western Washington
Seattle
WA
9/22/2011
1/1/2012
22,019
9/22/2011
12/13/2011
71
CWA 1181 Security Benefit Fund
Queens
NY
9/22/2011
7/1/2011
1,260
12/13/2011
12/14/2011
72
Pipe Trades Trust of the Northern Rocky
Mountain Area
9/13/2011
9/1/2011
3,100
12/21/2011
Total Enrollment
226,595
*Waiver not extended; expires one year after plan effective date.
**Please note that the city and state correspond only to the address stated on the application and may not reflect the location of the applicant’s enrollees.
