2022-11-10T11:31:13-06:00 2021-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA - SUITE 3200 NEW YORK NY 101190002 990 2021-01-01 136783346 UNITED FEDERATION OF TEACHERS HEALTH CARE CHAPTER BENEFIT FUND UNIT 2129825547 52 BROADWAY NEW YORK NY 10004 DEBBIE RUBIN ADMINISTRATOR 2129825547 2022-10-31 1 DEBBIE RUBIN 999009999 P00293703 2126955003 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DEBBIE RUBIN 52 BROADWAY NEW YORK NY 10004 46025449 0 X N/A X 1980 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 6 6 0 0 0 0 0 0 35089665 35342580 2615804 194275 0 0 37705469 35536855 0 0 30551584 33213996 0 0 0 0 0 701511 786093 31253095 34000089 6452374 1536766 41796589 44363289 1158575 1071901 40638014 43291388 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS 0 0 PROVIDE THE FOLLOWING BENEFITS TO ELIGIBLE PARTICIPANTS.MAJOR MEDICAL, HOSPITALIZATION, DENTAL, OPTICAL, PRESCRIPTION DRUGS AND LIFE INSURANCE. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 1 1 0 0 0 X DEBBIE RUBIN 2129825547 52 BROADWAY- 12TH FLOOR NEW YORK NY 10004 ANNE GOLDMAN FORMER TRUSTEE 3.00 X 0 0 0 MELISSA GREINER TRUSTEE 1.00 X 0 0 0 MARK COLLINS TRUSTEE 1.00 X 0 0 0 NANCY MILLER TRUSTEE 1.00 X 0 0 0 AUDREY WATHEN FORMER TRUSTEE 1.00 X 0 0 0 JOHN COLLINS TRUSTEE 1.00 X 0 0 0 TANYA ISAACS TRUSTEE 1.00 X 0 0 0 CARL CAMBRIA TRUSTEE 1.00 X 0 0 0 DEBBIE RUBIN ADMINISTRATOR 35.00 X 0 131663 60344 0 131663 60344 0 0 1 0 EXPRESS SCRIPTS 100 PARSONS POND ROAD FRANKLIN LAKES NJ 07417 PRESCRIPTION DRUG FEES 116465 SEGAL CONSULTING 333 WEST 34TH STREET NEW YORK NY 10001 BENEFITS CONSULTING 106441 2 CONTRIBUTIONS FROM EMPLOYERS 900099 34880542 34880542 CONTRIBUTIONS FROM PARTICIPANTS 900099 248948 248948 COBRA CONTRIBUTIONS 900099 213090 213090 35342580 91431 91431 10591438 10488594 102844 102844 102844 35536855 35342580 0 194275 33213996 16332 22725 54046 106441 3908 8911 22484 2188 19988 ALLOCATED SALARIES, PAY 355706 PRESCRIPTION DRUGS SERV 116465 HEALTH CARE REPORTING C 32046 BENEFIT BOOKLET 18241 6612 34000089 3710622 4299249 9798907 11444413 7668554 6833704 13709 13954 39891 36816 5263 3075 15837593 15634640 4761941 6134254 41796589 44363289 1158575 1071901 1158575 1071901 X 0 0 0 0 40638014 43291388 40638014 43291388 41796589 44363289 1536766 1116608 0 X X 0 1 X 1 0 39891 36816 3075 3075 COMMON COLLECTIVE TRUST 6134254 F 6134254 X 36599417 1116608 1116608 35482809 54046 54046 35536855 33946043 0 33946043 54046 54046 34000089 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FUND HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. EMPLOYEE BENEFIT PLANS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS FOR THE FUND. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS PRIOR TO 2018. X 0 0 0 DEBBIE RUBIN ADMINISTRATOR 0 131663 0 0 0 0 0 33460 0 26884 0 192007 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE FUND HAS PARTICIPANTS. FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTESS FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY THE FUND'S INDEPENDENT AUDITORS. THE COMPLETED RETURN WAS REVIEWED BY THE ADMINISTRATOR AND EMAILED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW PRIOR TO BEING FILED. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AND CAN BE EXAMINED AT THE FUND OFFICE. PART XIII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FROM OVERSIGHT OF THE AUDIT, ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. VISITING NURSE SERVICE OF NEW YORK NORTHWELL HEALTH NYU LUTHERAN MEDICAL CENTER JEWISH HOME LIFECARE UNITED FEDERATION OF TEACHERS 52 BROADWAY NEW YORK NY 10004 135582895 LABOR UNION NY 501(C)(5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 UNITED FEDERATION OF TEACHERS N 149431 ACTUAL EXPENSES UNITED FEDERATION OF TEACHERS O 206275 ACTUAL EXPENSES UNITED FEDERATION OF TEACHERS P 449171 CASH DISBURSEMENTS