MONTEBELLO TEACHERS ASSOCIATION RETIREE SUPPLEMENTAL HEALTH PLAN

[ EIN: 95-4134329 | Plan No. 501 ]

The MONTEBELLO TEACHERS ASSOCIATION RETIREE SUPPLEMENTAL HEALTH PLAN plan, sponsored by BOARD OF TRUSTEES, MONTEBELLO TEACHERS ASSOCIATION, is listed in Form 5500 data as a Health & Welfare plan. The filing reports 1909 participants and total assets of $17,951,626 for plan year 2023.

Health & Welfare plans are subject to ERISA disclosure requirements and annual reporting obligations.

---

Plan Sponsor: BOARD OF TRUSTEES, MONTEBELLO TEACHERS ASSOCIATION

Location: 3530 CAMINO DEL RIO N STE 110, SAN DIEGO, CA 92108

EIN: 954134329

Plan Number: 501

Plan Year: 2023

Plan Size: Large Plan

Plan Entity Type: Health & Welfare

Plan Type: Health & Welfare

Participants: 1909

Total Assets: $17,951,626

---