2023-11-15T22:37:26-06:00 2022-12-31 WITHUMSMITHBROWNPC 4600 EAST WEST HWY 900 BETHESDA MD 20418 990 2022-01-01 686068469 INSURANCE AND BENEFITS TRUST OF PORAC SAFETY AND NON-SAFETY % PORAC INSURANCE&BENEFITS TRU INSU 9169283780 2960 ADVANTAGE WAY SACRAMENTO CA 95834 RICHARD BUSS TRUSTEE 9169283780 2023-11-15 true RICHARD BUSS 999009999 RICHARD RUVELSON P00234075 3012726000 2023-11-15 2022 2023-04-26 12:10:37Z RICHARD BUSS 2960 ADVANTAGE WAY SACRAMENTO CA 95834 183079642 false X N/A X 1991 CA TO PROVIDE DISABILITY, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, CANCER, ACCIDENT AND HOSPTAL BENEFITS 11 11 20 12 2414021 0 0 0 191932286 179254511 2801818 2414021 3500 1411110 194737604 183079642 0 0 190918752 178804096 720415 1720504 0 0 0 15536095 7463977 207175262 187988577 -12437658 -4908935 140454222 122523431 34121624 32383006 106332598 90140425 TO PROVIDE DISABILITY, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, CANCER, ACCIDENT AND HOSPITAL BENEFITS TO MEMBERS. false false TO PROVIDE DISABILITY, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, CANCER, ACCIDENT AND HOSPITAL BENEFITS TO APPROXIMATELY 22,658 MEMBERS, THE CONTRIBUTIONS FOR WHICH ARE MADE BY MEMBERS, MEMBER ASSOCIATIONS AND IN SOME CASES BY MEMBERS EMPLOYERS, IN ACCORDANCE WITH COLLECTIVE BARGAINING AGREEMENTS. IN ADDITION, A MAJOR MEDICAL ADMINISTRATIVE SERVICES BENEFIT WAS ESTABLISHED ON JANUARY 1, 2018 AND BEGAN RECEIVING CONTRIBUTIONS AND PROVIDING BENEFITS FROM THIS TRUST. PREVIOUS TO THIS DATE, PARTICIPANTS WERE PART OF FULLY INSURED BENEFIT PLAN. ONLY AS OF JANUARY 1, 2018, DID THIS TRUST INCLUDE A SELF-INSURED MAJOR MEDICAL PLAN FOR SUCH PARTICIPANTS. false false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 39 0 true 20 true true true false false false false false false false X 11 11 false false false false false true false true true false false true true true true true true false false false X PORAC INSURANCEBENEFITS TRU 9169283777 2960 ADVANTAGE WAY SACRAMENTO CA 95834 X MARIA JIMENEZ coo 40.0 0.0 X 335826 0 41581 VICTORIA BENUTO ACCOUNTANT 40.0 0.0 X 117413 0 19900 JODY BROWN INSURANCE SERVICES MANAGER 40.0 0.0 X 100665 0 34545 RICHARD BUSS CHAIRMAN 5.0 0.0 X X 0 0 0 BRYAN HUBBARD VICE CHAIRMAN 5.0 0.0 X X 0 0 0 DUSTIN BRUZEE TRUSTEE 5.0 0.0 X 0 0 0 GARY FRACE TRUSTEE 5.0 0.0 X 0 0 0 ROGER GARCIA TREASURER 5.0 0.0 X 0 0 0 CODY GREEN TRUSTEE 5.0 0.0 X 0 0 0 STEVE LATHAM TRUSTEE 5.0 0.0 X 0 0 0 DAMON KURTZ PRESIDENTS APPOINTEE 5.0 0.0 X 0 0 0 PATRICK MARTIN TRUSTEE (THRU NOV 2022) 5.0 0.0 X 0 0 0 FRANCO VADO Trustee 5.0 0.0 X 0 0 0 DAVE WILSON TRUSTEE 5.0 0.0 X 0 0 0 553904 0 96026 3 false true false MAYERS-STEVENS TOOHEY 26101 MARGUERITE PARKWAY MISSION VIEJO CA 92692 PROVIDER 520064 WAGNER LAW 17777 CENTER COURT DRIVE N SUITE 6 CERRITOS CA 90703 LEGAL SERVICES 198849 EIDE BAILLY 5441 KIETZKE LANE SUITE 150 RENO NV 89511 AUDIT SERVICES 111890 3 0 EMPLPOYER CONRIBUTIONS 123091579 PARTICIPANT CONTRIBUTIONS 56162932 179254511 2414021 2414021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE FEES INCOME 188526 MISCELLANEOUS INCOME 1222584 1411110 183079642 2414021 0 0 0 178804096 335826 0 950034 105899 256399 72346 0 264445 111890 0 0 206594 4981698 17310 91619 292119 0 319458 28307 0 185724 246209 0 580399 98512 MAILING SERVICES 25800 MISCELLANEOUS EXPENSES 13893 187988577 3605874 553572 0 0 0 0 13265690 13869040 0 0 0 0 0 0 0 0 86972 161091 11305746 715010 10715082 10590736 108386536 88389359 0 0 0 0 0 0 4394068 8959633 140454222 122523431 9081488 8062796 0 0 0 113362 0 0 0 0 0 0 0 0 0 0 25040136 24206848 34121624 32383006 X 0 0 0 0 106332598 90140425 106332598 90140425 140454222 122523431 -4908935 -15201470 3918232 X X false true X true false 9584033 262522 9321511 1721713 452488 1269225 10590736 REBATES RECEIVABLE 4851299 STOP LOSS RECEIVABLE 1725919 CMS REIN SUBS RECEIVABLE 1012191 CMS GAP COVERAGE RECEIBLE 736937 ACCRUED INTEREST 263971 PERFOM GUARANTEES RECEIVABLE 188166 CONTR PHARM AUDIT RECEIVABLE 181150 8959633 0 ACCRUED VACATION / PAYROLL TAXES 72536 INCURRED BUT NOT REPORTED CLAIMS 16949000 PREMIUMS PAYABLE 4960 UBS LOAN ACCOUNT 7180352 24206848 X 167671578 -15201470 -15201470 182873048 206594 206594 183079642 187781983 187781983 206594 206594 187988577 PART X, LINE 2 The Plans are exempt from federal income taxes under Section 501(c)(9) of the Internal Revenue Code ("IRC"). The Plans obtained an exemption letter dated March 27, 1992, in which the Internal Revenue Service stated that the Plans, as then designed, were in compliance with the applicable requirements of the IRC. The Plans have been amended since receiving determination letter. However, the Trustees believe that the Plans are currently designed and being operated in compliance with the applicable requirements of the IRC. Therefore, they believe that the trust is tax-exempt as of the combined financial statements date. U.S. GAAP requires management to evaluate income tax positions taken and recognize a tax liability if the Plans have taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions taken by the Plans and has concluded that as of December 31, 2022 and 2021, there are no uncertain positions taken or expected to be taken that would require recognition in the combined financial statements. The Plans are subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax periods. In addition, there have been no tax related interest or penalties for the periods presented in these combined financial statements. statements. The Plans are subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax periods. In addition, there have been no tax related interest or penalties for the periods presented in these combined financial statements. false false false MARIA JIMENEZ coo 321637 0 14189 0 0 0 31693 0 9888 0 377407 0 0 0 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO PROVIDE DISABILITY, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, CANCER, ACCIDENT AND HOSPITAL BENEFITS TO MEMBERS. FORM 990, PART VI, SECTION A, LINB 7A: THE PORAC PRBSIDENT YEARLY MAKBS 3 APPOINTMENTS TO THE TRUST: 1) PRESIDENTS APPOINTMENT, 2) BOARD REPRESENTATIVE AND 3) RETIREE REPRESENTATIVE FORM 990, PART VI, SECTION B, LINE 11B: THE TRUSTEES ARE PROVIDED THE TAX RETURNS AND ASKED TO REMARK IF THEY HAVE ANY CHANGES. FORM 990, PART VI, SECTION B, LINE 12C: NEW TRUSTEES ARE REQUIRED TO ATTEND ANNUAL TRAINING. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUBST. FORN 990 PART VII SECTION A COLUMN E AND F ALL THS TRUSTERS ARK VOLUNTEERS AND ARE NOT COMPENSATED BY ANY RELATED ENTERIES FOR THEIR WORK ON THE TRUST. RETIRED TRUSTEES AND MOBT ACTIVE FRUSTERS ARE NOT COMPENSATED BY A CONTRIBUTING EMPLOYER OR SPONSOR ORGANIZATION. AN ACTIVE TRUSTEE OF THE TRUST IS AN EMPLOYEE OF A RSLATSD SPONSOR ORGANISATION UNDER THE DEFINITIONS IN SCHEDULE R. THE TRUST REQUESTED THE COMPENSATION INFORMATION REGARDING THE RELATED ORGANIBATION FROM THE VOLUNTEER TRUSTEE. THE TRUST PROVIDED A ORGANIBATION FROM THE VOLUNTEER TRUSTEE. THE TRUST PROVIDED A QUESTIONNAIRE REQUESTING THE REQUIRED INFORMATION ALONG WITH INSTRUCTIONS TO EXPLAIN THE INFORMATION NEEDED. THE TRUST IS UNABLE TO REPORT COMPENSATION AND BENEFITS PAID TO VOLUNTEER TRUSTEES BY RELATED ORGANIZATIONS AS IT WAS UNABLE TO OBTAIN THE INFORMATION AFTER MAKING REASONABLE EFFORTS. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. SEE SUPPLEMENTAL PAGE false false false false false false false false false false false false false false true false false false false SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: IN A MULTIEMPLOYER PLAN, A CONTRIBUTING EMPLOYER IS CONSIDERED A RELATED ORGANIZATION BECAUSE THEY ARE OBLIGATED TO CONTRIBUTE TO THE PLAN PURSUANT TO THE TERMS IN THE COLLECTIVE BARGAINING OR PARTICIPATION AGREEMENT. THE ADMINISTRATIVE OFFICE ONLY MAINTAINS THE DATA NECESSARY TO FULFILL THE OBLIGATION TO CONTRIBUTE, IT DOES NOT MAINTAIN SPECIFIC BUSINESS DATA REGARDING THE EMPLOYERS, SUCH AS ENTITY TYPE OR TAX INFORMATION. ALAMEDA CO D.S.A. ALAMEDA P.O.A. ALBANY P.O.A. ALHAMBRA P.O.A. AMADOR COUNTY SHERIFF'S OFFICE ASSOCIATION ANTIOCH P.O.A. ANTIOCH POLICE SWORN MANAGERS ASSOCIATION (APSMA) ARCADIA (CITY OF) - LTD ARCATA POLICE ASSOCIATION ARROYO GRANDE P.O.A. ATHERTON POA ATWATER POA AUBURN P.O.A. AZUSA P M A AZUSA POA BART POLICE MANAGERS ASSOCIATION BART POLICE OFFICERS ASSN. BELMONT P.O.A. BERKELEY P.O.A. BRENTWOOD P.O.A. BUENA PARK P.A. BURBANK-GLENDALE-PASADENA AIRPORT POA BUTTE CO CORRECTIONS BUTTE COUNTY D.S.A. CALAVERAS CO SHERIFF'S MGMNT UNIT CALAVERAS D.S.A. CENTRAL MARIN POLICE AUTHORITY CERES P.O.A. CHICO P.O.A. CHOWCHILLA P.O.A. (LTD) CHULA VISTA P.O.A. CITY OF HERCULES CITY OF LAKEPORT CITY OF MODESTO P.O.A. CITY OF SANTA ROSA CITY OF SANTA ROSA PMA CLOVIS P.O.A. COLTON POA CONTRA COSTA COUNTY DSA COTATI P.O.A. DESERT HOT SPRINGS P.O.A. EAST BAY REGIONAL PARK DIST. P.O.A. EL MONTE P.O.A. EL SEGUNDO P.O.A. ESCONDIDO (CITY OF) LTD EUREKA P.O.A. EXETER POA FONTANA PMA FONTANA SCHOOL POA FORT BRAGG POLICE OFFICERS ASSOC FOUNTAIN VALLEY P.O.A. FRESNO CO DAI MANAGEMENT FRESNO COUNTY D.S.A. FRESNO COUNTY DAIA FRESNO POA GARDENA P.O.A. GILROY P.O.A. GRASS VALLEY POA GUSTINE P.O.A. HANFORD P.O.A. HOLLISTER P.O.A. HUMBOLDT DEPUTY SHERIFF'S ORGANIZATION IMPERIAL CO DA INVESTIGATORS ASSOC IMPERIAL CO. PUBLIC SAFETY MANAGEMENT ASSOC. IMPERIAL COUNTY D.S.A. INYO CO. DSA (PSF & AD&D) KINGS COUNTY D.S.A. LA HABRA P.O.A. LA MESA P.O.A. LA PALMA P.O.A. LAKE COUNTY CORRECTION OFFICER'S ASSOC LAKE COUNTY DEPUTY SHERIFFS' ASSOCIATION LAKE COUNTY SHERIFF'S MANAGEMENT ASSOC LEMOORE P.O.A. LINCOLN P.O.A. LIVERMORE P.O.A. LODI P.O.A. LOS ANGELES AIRPORT P.O.A. LOS ANGELES AIRPORT POLICE SUPERVISORS' ASSOCIATION M.A.M.A. OF LODI P.D. MADERA D.S.A. MANHATTAN BEACH P.O.A. MANTECA POA MARIN COUNTY D.S.A. MARTINEZ, CITY OF (POA LTD) MODOC COUNTY DSA MONTEREY CO SHERIFF'S MGMNT ASSOC MONTEREY COUNTY D.S.A. MONTEREY COUNTY PROBATION MONTEREY PARK MIDDLE MANAGEMENT ASSOC MONTEREY PARK P.O.A. MOUNTAIN VIEW P.O.A. NAPA COUNTY D.S.A. NAPA P.O.A. NAPA POLICE MID-MANAGEMENT NEWMAN P.O.A. NOVATO P.M.A. NOVATO P.O.A. OAKDALE P.O.A. OAKLAND POA ORANGE P.O.A. OROVILLE P.O.A. OXNARD P.O.A. PALM SPRINGS P.O.A. PALO ALTO P.O.A. PALO ALTO PMA PIEDMONT P.O.A. PINOLE P.E.A. (CITY OF) PITTSBURG P.O.A. PLACER COUNTY D.S.A. PLACER COUNTY LAW ENFORCEMENT MANAGEMENT ASSN. PLEASANT HILL P.O.A. PLEASANTON P.O.A. POMONA P.O.A. PORT SAN LUIS HARBOR PATROL PORTERVILLE P.O.A. ROCKLIN P.O.A. ROHNERT PARK PUBLIC SAFETY OFFICERS' ASSOCIATION ROSEVILLE P.O.A. SACRAMENTO CO ALLIANCE OF LAW (SCALE) SACRAMENTO P.O.A. SALINAS POA SAN BENITO CO. D.S.A. SAN BERNARDINO P.O.A. SAN BERNARDINO SCHOOLS POA SAN DIEGO CITY UNIFIED SCHOOLS PMA SAN DIEGO CITY UNIFIED SCHOOLS POA SAN DIEGO HARBOR P.O.A. SAN DIEGO SCHOOLS PMA SAN JOAQUIN CO CORRECTIONAL SAN JOAQUIN CO. D.S.A. SAN JOAQUIN CO. DA INVESTIGATORS SAN JOSE P.O.A. SAN LEANDRO PMA SAN LUIS OBISPO DSA SAN LUIS OBISPO SWORN DEPUTIES' ASSOCIATION SAN MATEO P.O.A. SAN MATEO POLICE SAFETY MGMNT ASSOC SAN MATEO POLICE SERGEANTS ASSOC SAN MATEO PROBATION ASSOCIATION SAN RAFAEL POLICE ASSN. SANGER P.O.A. SANTA ANA SCHOOLS POA SANTA BARBARA COUNTY D.S.A. SANTA BARBARA P.O.A. SANTA CLARA CO DA INVESTIGATOR'S ASSOC SANTA CLARA CO. CORRECTIONAL POA SANTA CRUZ CO COA SANTA CRUZ CO D.S.A. SANTA CRUZ CO D.S.A.(LT'S REP) SANTA CRUZ CO D.S.A.(REP UNIT) SANTA MARIA P.O.A. SANTA MARIA POLICE ASSOC OF MIDDLE MGMNT (SMPAMM) SANTA MONICA P.O.A. SEBA SAFETY EMPLOYEES SEBASTOPOL P.O.A. SHASTA CO DEPUTY MARSHALS' ASSOCIATION SHASTA COUNTY D.S.A. SOLANO CO D.S.A. SONOMA COUNTY DSA SONOMA COUNTY LAW ENFORCEMENT ASSOC MGRS SONOMA COUNTY LAW ENFORCEMENT ASSOCIATION SONORA POA STANISLAUS CO D.S.A. STANISLAUS CO. SHERIFF SUPVSRS STANISLAUS COUNTY D.A. INVESTIGATORS ASSOCIATION STANISLAUS SWORN DEPUTIES ASSOCIATION STOCKTON UNIFIED POA SUISUN CITY P.O.A. (LTD) TRACY P.O.A. TRUCKEE POA TRUCKEE POLICE MANAGEMENT ASSOCIATION TULARE COUNTY D.S.A. TUOLUMNE CO. D.S.A. VACAVILLE P.O.A. VACAVILLE PMA VALLEJO P.O.A. VENTURA CO D.S.A. VENTURA P.O.A. WEST SACRAMENTO POA WHITTIER P.O.A. WHITTIER POLICE MGMT ASSOC WOODLAND PROFESSIONAL PEA YOLO COUNTY D.S.A. YREKA POA YUBA CITY P.O.A. YUBA COUNTY S.M.S.A.