2021-05-07T16:38:10-05:00 2020-06-30 931015766 BJORKLUND & MONTPLAISIR CPA'S 9020 SW WASHINGTON SQ RD SUITE 46 PORTLAND OR 97223 990 2019-07-01 916035786 NORTHWEST INSULATION WORKERS WELFARE TRUST NORT PO BOX 34203 SEATTLE WA 981241203 KENNETH GRITTER CHAIRMAN 2021-04-07 true RICHARD A LAYNE P00359754 5036436400 2021-05-05 2019 2022-09-23 18:48:47Z KENNETH GRITTER 29224752 false X X 1952 WA TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS OF THE PLAN 8 8 0 0 0 9135793 8356582 453823 684338 54619 77842 9644235 9118762 0 7179490 7451848 0 0 0 628539 631498 7808029 8083346 1836206 1035416 23615176 24678601 4644718 4125261 18970458 20553340 X TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS OF THE PLAN false false DISBURSEMENTS USED TO PROVIDE HEALTH & WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. DISBURSEMENTS USED TO PROVIDE HEALTH & WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. 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 false false false false false false false false false false false false false false true false false true 11 0 0 false false false false false false false false X 8 8 false true false false false false false true true false false false true true true true true true true false X X WELFARE & PENSION ADMIN SVCS INC 2064417574 PO BOX 34203 SEATTLE WA 98124 X MONTY ANDERSON TRUSTEE 1.00 X 0 0 0 RIAN DAVIS TRUSTEE 1.00 X 0 0 0 BRITT FREEL TRUSTEE 1.00 X 0 0 0 KENNETH GRITTER CHAIRMAN 1.00 X X 0 0 0 RORY HOMES TRUSTEE 1.00 X 0 0 0 TODD MITCHELL SECRETARY 1.00 X X 0 0 0 TERRY G PHILLEY TRUSTEE 1.00 X 0 0 0 SONNY SANDRETTO TRUSTEE 1.00 X 0 0 0 false false false WELFARE & PENSION ADMIN SERVICES 2815 2ND AVE SUITE 300 SEATTLE WA 98121 ADMINISTRATION 211505 AETNA 151 FARMINGTON AVENUE HARTFORD CT 06156 PPO NETWORK FEE 210092 2 EMPLOYER CONTRIB. 525100 8005816 8005816 EMPLOYEE CONTRIB. 525100 350766 350766 8356582 565107 565107 20225221 20105990 119231 119231 119231 MEDICARE PART D SUBSIDY 77842 77842 77842 9118762 9118762 7451848 21000 18108 59670 475897 29465 20731 6627 8083346 0 0 0 1756389 1401117 849017 418059 1143147 960283 19866623 21899142 23615176 24678601 279052 42110 4365666 4083151 4644718 4125261 X 18970458 20553340 18970458 20553340 23615176 24678601 1035416 547466 X false true X true false CLAIMS RESERVE 2122047 ACCUMMULATED ELIGIBILITY CREDIT 1818644 PREMIUMS PAYABLE 142460 4083151 9606558 547466 547466 9059092 59670 59670 9118762 8306191 282515 282515 8023676 59670 59670 8083346 SCHEDULE D, PAGE 4, PART XII, LINE 2D CHANGE IN ACCRUED BENEFIT OBLIGATIONS 282,515 FORM 990, PAGE 2, PART III, LINE 4D DISBURSEMENTS USED TO PROVIDE HEALTH & WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. FORM 990, PAGE 6, PART VI, LINE 3 THE DAY TO DAY MANAGEMENT AND OPERATION OF THE PLAN ARE HANDLED BY A THIRD PARTY ADMINISTRATOR, WELFARE & PENSION ADMIN. SERVICES. FORM 990, PAGE 6, PART VI, LINE 10B THE FORM 990 IS REVIEWED BY A TRUSTEE OF THE PLAN. THE FORM 990 IS PREPARED BY THE ACCOUNTANT AND SENT TO THE ADMINISTRATION OFFICE. THE ADMINISTRATIVE AGENT IS DIRECTED TO FORWARD THE FORM 900 TO THE TRUSTEE FOR REVIEW AND SIGNATURE. FORM 990, PAGE 6, PART VI, LINE 11B CHAIRMAN OF THE BOARD OF TRUSTEES REVIEWS THE FORM PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C TRUSTEES ARE REMINDED ANNUALLY OF THEIR DUTY TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A TRUSTEES AND OFFICERS DO NOT RECEIVE COMPENSATION FORM 990, PAGE 6, PART VI, LINE 15B TRUSTEES AND OFFICERS DO NOT RECEIVE COMPENSATION FORM 990, PAGE 6, PART VI, LINE 19 THE PLAN ADMINISTRATOR PROVIDES FOR THE PARTICIPANT INSPECTION OF DOCUMENTS AND FINANCIAL STATEMENTS UPON REQUEST THROUGH THE PLAN ADMINISTRATOR. FORM 990 IS AVAILABLE AT GUIDESTAR.ORG ASBESTOS LOCAL 82 N/A false ASBESTOS LOCAL 82 JATC N/A false JATC ASBESTOS WORKERS N/A false HEAT & FROST INSULATORS LOCAL 7 N/A false INTRNTL HEAT & FROST N/A false SEATTLE ASBESTOS WKRS JATC N/A false SEATTLE BLDG AND CONSTRUCTION TRADE N/A false WESTERN WA INSULATION N/A false SUMMIT CONTRACTING LLC N/A false false THERMAX INSULATION LLC N/A false false WILLIAMS PLANT SERVICES LLC N/A false false A P I INC N/A false AARC - WEST MECHANICAL N/A false ACE MECHANICAL N/A false AIS INC N/A false APACHE INDUSTRIAL SERV N/A false AUBURN MECHANICAL N/A false BALLARD INSULATION N/A false BOYTER BROTHERS LLC N/A false BRAND ENERGY N/A false BRAND ENERY SERVICES N/A false CBI SERVICES N/A false CORVAL CONSTRUCTORS N/A false D & G MECHANICAL N/A false DKB INC N/A false EXCEL PACIFIC N/A false HECKMAN INC N/A false HOLADAY PARKS N/A false HUDSON BAY INSULATION N/A false INSULATION CONTRACTORS OF N/A false JKAY INC N/A false K FOX INSULATION INC N/A false LIFE SAFETY SOLUTION N/A false MAPLE VALLEY ENERGY N/A false MECHANICAL INSULATING N/A false NAES POWER CONTRACTORS N/A false NORKOTE INC N/A false PERFORMANCE CONTRACTING N/A false PINCHIFF MECHANICAL N/A false SAFWAY SERVICES N/A false SAFWAY SERVICES INC N/A false SAFWAY SERVICES LLC N/A false SFS INC N/A false TANZ MECHANICAL N/A false THE JAMAR COMPANY N/A false TRUEFIRE SOLUTIONS N/A false URS ENERGY & CONSTRUCT N/A false WASTE TREATMENT COMPLE N/A false WELDTECH SERVICES INC N/A false WILLIAMS INSULATION N/A false false false false false false false false false false false false false false false false false false false false