2020-03-13T12:03:39-00:00 2019-05-31 Bennett & Associates CPAs PLLC 100 Huronview Blvd Ann Arbor MI 48103 990 2018-06-01 386065578 UA Local 190 Health and Welfare Trust UALO 2486456550 30700 Telegraph Road Room 2400 Bingham Farms MI 48025 Douglas Mayher Jr and John Darr Trustees 2020-03-13 true James H Bennett CPA 7346228015 2020-03-13 68.40.204.180 2020-03-13 15:44:59 ED P D205B40800AECACC06C8A67B0CD0F2923681F789 D205B40800AECACC06C8A67B0CD0F2923681F789 2018 2020-11-19 02:30:22Z Douglas Mayher Jr John Darr 7920 Jackson Rd Ste B Ann Arbor MI 48103 19730506 false X www.ua190benefits.org X 1952 MI Payment of health care claims and insurance premiums on behalf of union members and their dependents 8 8 23 10 0 0 16272020 18303746 456322 709162 0 16728342 19012908 0 15600539 15414391 0 0 0 1268680 1276401 16869219 16690792 -140877 2322116 24545925 27169282 1660671 1886961 22885254 25282321 Payment of health care claims and insurance premiums on behalf of union members and their dependents false false All revenues and expenses are related to paying health and welfare claims and premiums of union members and their dependents 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 2 0 true 23 true false false false false false false false false X 8 8 true false false false false false false true true false false false false false false false false false X James Schreiber TIC International Corp 5173272131 6525 Centurion Dr Lansing MI 48917 X David Forbes Chairman / Alternate Trustee 000.10 000.40 X X 0 0 0 Kevin Groeb Trustee 000.10 000.40 X 0 0 0 Sandra Miller Secretary 000.10 000.40 X X 0 0 0 Michael Darr Trustee 000.10 000.40 X 0 0 0 John Darr Trustee / Secretary 000.10 000.40 X X 0 0 0 Jeremy Finn Trustee 000.10 000.40 X 0 0 0 Douglas Mayher Jr Trustee / Chairman 000.10 000.40 X X 0 0 0 Andy Fielder Trustee 000.10 000.40 X 0 0 0 Dennis Shoner Jr Alternate Trustee / Trustee 000.10 000.40 X 0 0 0 Nancy Cummins Trustee 000.10 000.40 X 0 0 0 false false false Blue Cross Blue Shield of Michigan 27000 W 11 Mile Rd Southield MI 48034 Claims processing 816074 TIC International Corporation 30700 Telegraph Rd Ste 2400 Bingham Farms MI 48025 Administration, payroll audits 219901 2 Employer Contributions 525100 17171213 17171213 Participant Contributions 525100 1132533 1132533 18303746 526760 526760 900000 717598 182402 182402 19012908 18303746 526760 0 0 0 15414391 0 0 0 0 0 0 233118 41741 30231 0 12144 28000 0 22731 2800 0 0 0 0 4991 0 0 0 4318 Blue Cross Blue Shield administration fees 816074 Delta Dental administration fees 54720 25533 16690792 1081208 2253982 1783131 1790866 1241863 1810878 321178 418731 20116204 20890162 2341 4663 24545925 27169282 157948 370877 1502723 1516084 1660671 1886961 X 22885254 25282321 22885254 25282321 24545925 27169282 2322116 74951 X false true X false false false Financial derivatives and other financial products Closely-held equity interests Federal income taxes Benefit claims payable 1516084 1516084 19087859 74951 74951 19012908 19012908 16677431 16677431 13361 13361 16690792 XII 4b Benefit reserve adjustment Form 990, Part VI, Section A, Line 2 John Darr, Trustee and Michael Darr, Trustee are brothers. Form 990, Part VI, Section B, Line 11b The Board of Trustees relies heavily on its legal counsel for review and proper completion of Form 990. The Form 990 is finally reviewed by the Officers, including one union trustee Chairman and one management trustee Secretary before it is executed by those trustees. Form 990, Part VI, Section C, Line 19 The governing documents for the UA Local 190 Health and Welfare Plan and the UA Local 190 Medicare Retiree Health and Welfare Plan are available to participants and beneficiaries upon request. Financial statements are included in the annual filing of the Form 5500 for the UA Local 190 Health and Welfare Plan and of the Form 5500 for the UA Local 190 Medicare Retiree Health and Welfare Plan, and are available on the Department of Labors website. UA Local 190 Sub Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 237116328 Sub Fund MI 501c17 N/A false UA Local 190 Pension Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 386065579 DB Pension MI 501a N/A false UA Local 190 Defined Contribution Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 383316535 DC Pension MI 501a N/A false UA Local 190 Individual HRA Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 260268950 Health Savings MI 501c9 N/A false UA Local 190 7920 Jackson Road Suite B Ann Arbor MI 48103 380895168 Collective Bargaining MI 501c5 N/A false Greater Michigan PMC 58 Parkland Plaza 600 Ann Arbor MI 481036209 386087681 Industry Advancement MI 501c6 N/A false Board of Trustees of the UA Local 190 Health & Welfare Trust 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 386065578 VEBA MI 501c9 N/A false false false false false false false false false false false false false false false false false false false true