2025-06-30T20:12:03Z 2024-08-31 251353456 C B Tracy & Assoc Inc dba TracyCo 506 Pellis Road Greensburg PA 15601 990 2023-09-01 251428220 AFFILIATED SUPERVALU RETAIL OUTLETS HEALTH & WELFARE PLAN AFFI 7248341090 506 PELLIS RD GREENSBURG PA 156014506 Edward M Poach Trustee 7248341090 2025-06-30 C B Tracy Assoc Inc dba TracyCo 7248341090 2023 2025-03-06 01:10:19Z 235726 false X X 1997 PA To provide health benefits 2 0 0 21 0 0 0 244922 235705 19 21 0 0 244941 235726 0 0 226782 157749 0 0 0 0 0 22845 39059 249627 196808 -4686 38918 425176 465092 20411 21409 404765 443683 To provide health benefits false false 0 Self Insured Benefits 0 false false false false false false false false false false false false false true false true false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 0 0 true 0 false false false false false false false false false false X 2 0 false true false false false false false true false false true false false false false X C B Tracy Associates dba Tracyco 7248341090 506 Pellis Road Greensburg PA 15601 Edward M Poach Jr Trustee 0.00 X 0 0 0 Jeffrey Duritza Trustee 0.00 X 0 0 0 0 0 0 0 false false false 0 Self-Insured Benefits 235705 235705 235705 21 0 21 235726 235705 21 0 157749 157749 9750 0 9750 Service Fees 29309 29309 196808 187058 9750 0 422386 462281 2790 2811 0 425176 465092 0 20411 21409 20411 21409 X 404765 443683 404765 443683 425176 465092 38918 X false true true false Premiums Received in Advance 20079 Accrued Expenses 1330 21409 235726 0 235726 0 235726 196808 0 196808 0 196808 Part VI, Line 19 Information with respect to governing documents, conflict of interest policy, and financial statements are available upon request