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Identifying More Than $1 Million in Unpaid Reimbursements

Situation: During an annual health and welfare fund audit, our team identified several large claims that had not received stop-loss insurance reimbursement. Solution: We alerted the fund administrator and trustee and advised them to partner with their benefits consultant to pursue potential recovery. Impact: Following the insurer’s review, the fund recovered $1.06 million in reimbursements […]

Resolving a Contribution Dispute

Situation: A contractor’s work under another union’s collective bargaining agreement created a dispute over the benefit fund contributions owed. Solution: Tronconi Segarra & Associates reviewed the agreement and met with the contractor and union to resolve its application and determine the required contributions. Impact: The fund recovered $39,000 in delinquent contributions, interest, and penalties.