2025-01-15T08:17:30-06:00 2023-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2023-01-01 886733960 CHILD CARE PROVIDERS UNITED CALIFORNIA WORKERS HEALTH CARE FUND CHIL 8337146028 15525 SAND CANYON AVENUE IRVINE CA 92618 HORACE TURNER CHAIRMAN 8337146028 2024-11-05 1 1 KRISTIN A JACQUELIN CPA P01325865 2023319880 2025-01-15 2023 2024-10-15 13:58:12Z HORACE TURNER 15525 SAND CANYON AVENUE IRVINE CA 92618 6331008 0 X HTTPS://WWW.CCPUHEALTH.ORG/ X 2022 CA TO PROVIDE HEALTH PREMIUM, OUT-OF-POCKET, AND CERTAIN PERMISSIBLE EXPENSE REIMBURSEMENT. 5 5 0 6 0 0 0 0 1038188 4023044 10421 2307964 0 0 1048609 6331008 0 0 0 1801128 0 0 0 0 0 1038188 2267749 1038188 4068877 10421 2262131 100110421 97480227 100100000 95324814 10421 2155413 TO PROVIDE HEALTH PREMIUM, OUT-OF-POCKET, AND CERTAIN PERMISSIBLE EXPENSE REIMBURSEMENT BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 4023044 TO PROVIDE ADMINISTRATION SUPPORT FOR FUND'S MISSION 4023044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X BOARD OF TRUSTEES OF THE CCPU - CALIFORNIA WORKERS HEALTH CARE FUND 8337146028 15525 SAND CANYON AVENUE IRVINE CA 92618 X HORACE TURNER CHAIRMAN 1.00 X 0 0 0 PATRICIA MORAN SECRETARY 1.00 X 0 0 0 JOSEPH SKALA TRUSTEE 1.00 X 0 0 0 RIKO MENDEZ TRUSTEE 1.00 X 0 0 0 JACQUE GALIYANO TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 PINNACLE CLAIMS MANAGEMENT 6501 IRVINE CENTER DR SUITE 100 IRVINE CA 92618 ADMINISTRATION FEES 1679095 SEGAL 500 NORTH BRAND BLVD SUITE 1400 GLENDALE CA 91203 ACTURIAL, MARKETING, INSURANCE, AND DIRE 346361 SLEVIN & HART PC 1300 CONNECTICUT AVENUE NW SUIT WASHINGTON DC 20036 LEGAL AND CONSULTING FEES 102002 3 STATE OF CALIFORNIA FUNDING 525100 4023044 4023044 4023044 2307964 2307964 6331008 4023044 0 2307964 1801128 102002 21190 45833 289730 72980 26721 56631 ADMINISTRATION FEES 1651500 OTHER OPERATING COSTS 2964 SLA PENALTY FEE -1802 4068877 100110421 9615122 17500000 54387 52209 70258509 100110421 97480227 1038187 286045 99061813 95038769 100100000 95324814 X 10421 2155413 10421 2155413 100110421 97480227 2262131 -117139 0 X X 0 1 X 1 0 0 X 6168036 -117139 -117139 6285175 45833 45833 6331008 4023044 0 4023044 45833 45833 4068877 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND 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 IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 3 THE PLAN UTILIZES A THIRD PARTY ADMINISTRATOR FOR OPERATING RESPONSIBILITIES. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS SENT TO THE TRUSTEES FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN'S WRITTEN CONFLICT OF INTEREST POLICY FOR TRUSTEES REQUIRES THAT ALL TRUSTEES AVOID AND DISCLOSE CONFLICTS OF INTEREST. POTENTIAL CONFLICTS WOULD BE REVIEWED BY THE PLAN'S LEGAL COUNSEL AND BOARD OF TRUSTEES AND WOULD EXCLUDE ANY INDIVIDUAL WITH A CONFLICT FROM PARTICIPATING IN THE BOARD OF TRUSTEES DELIBERATIONS AND DECISIONS WITH RESPECT TO THE ISSUE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE REVIEW PROCESS HAS NOT CHANGED FROM PRIOR YEARS.