2019-04-09T10:12:38-05:00 2018-06-30 581484212 HOWARD MOORE & MCDUFFIE PC PO BOX 4547 MACON GA 31208 990 2017-07-01 581236802 ITPEU HEALTH & WELFARE FUND ITPE 9123527169 PO BOX 13817 SAVANNAH GA 31416 KATHY HEERY ADMINISTRATOR 9123527169 2019-04-09 true APRIL HORNSBY P00536708 4787425317 2019-04-09 68.101.55.66 2019-04-09 10:12:38 CD P 4F70F7086E782971DCCB61F20557D31D9F8CF816 4F70F7086E782971DCCB61F20557D31D9F8CF816 2017 2019-02-21 02:37:17Z KATHY HEERY PO BOX 13817 SAVANNAH GA 31416 84548745 false X WWW.ITPEUBENEFITS.COM X 1971 GA MULTI-EMPLOYER EMPLOYEE BENEFITS 18 9 787 0 0 62910026 62999766 1994653 2420321 0 64904679 65420087 311751 312951 70098963 52276724 903734 926451 0 0 5529164 5085327 76843612 58601453 -11938933 6818634 57626041 58473122 18650172 13863470 38975869 44609652 MULTI-EMPLOYER EMPLOYEE BENEFITS false false 58601453 312951 62999766 PROVIDED HEALTH AND WELFARE BENEFITS FOR 8,100 PLAN PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 58601453 false false false false false false false false false true true false false true true true true false false false false false false false false false false true true false false false false false false false false false false false true true true false true X 925 0 true 787 true false false false false false false X 18 9 false false false false false false false true true false false true true false false false false true true false GA X KATHY HEERY 9123527169 24 OGLETHORPE PROFESSIONAL BLVD SAVANNAH GA 31406 DENNIS ARRINGTON CO-CHAIRMAN 0.50 32.00 X 0 166642 39246 CINDY DIEHM TRUSTEE 0.50 32.00 X 0 127707 28080 LENA BAILEY TRUSTEE 0.50 32.00 X 0 72165 27276 THEATLA JONES TRUSTEE 0.50 32.00 X 0 69060 21594 JOE SERRANO TRUSTEE 0.50 32.00 X 0 66862 24496 TRINA WILLIAMS ALT TRUSTEE 0.50 32.00 X 0 63858 25344 WILMA ZIMMERMAN ALT TRUSTEE 0.50 32.00 X 0 60577 17357 DENISE MOORE ALT TRUSTEE 0.50 32.00 X 0 57611 15723 HAROLD E GELBER CO-CHAIRMAN 0.50 X 0 0 0 JERRY M BOWDEN TRUSTEE 0.50 X 0 0 0 JP HOLLOMON TRUSTEE 0.50 X 0 0 0 FRED SMITH TRUSTEE 0.50 X 0 0 0 KYLE HENSON V. CO-CHAIRM 0.50 X 0 0 0 HAL SHERLEY TRUSTEE 0.50 X 0 0 0 ACE BURT ALT TRUSTEE 0.50 X 0 0 0 JOHN MORGAN TRUSTEE 0.50 X 0 0 0 RICHARD LANIGAN TRUSTEE 0.50 X 0 0 0 KATHY HEERY ADMINISTRATO 35.00 X 88979 0 2958 ROBERT DONLON ACCOUNTANT 35.00 X 78311 0 2958 ROY BOYD FUND REPRESE X 209464 0 2686 DENNIS CONLEY V. CO-CHAIRM 0.50 32.00 X 0 145499 28887 376754 829981 236605 1 true true false ANTHEM BLUE CROSS AND BLUE SHIELD 1351 WILLIAM HOWARD TAFT ROAD CINCINNATI OH 452061721 CLAIMS ADMIN 3996528 BASYS 3700 KOPPERS STREET SUITE 400 BALTIMORE MD 21227 SOFTWARE MAINT 212777 HOWARD MOORE & MCDUFFIE PC PO BOX 4547 MACON GA 31208 AUDITOR 118612 3 EMPLOYER CONTRIBUTIONS 525100 62848226 62848226 PARTICIPANT CONTRIBUTIONS 525100 151540 151540 62999766 855952 855952 20693027 19128658 1564369 1564369 1564369 65420087 65420087 312951 312951 52276724 52276724 173835 173835 659696 659696 35799 35799 57121 57121 50983 50983 90765 90765 159293 159293 4098712 4098712 133039 133039 226127 226127 135809 135809 128582 128582 28236 28236 AFFORDABLE CARE ACT FEES 33781 33781 58601453 58601453 0 0 7001195 9911856 430524 190228 5939069 5684702 68529 73879 817684 787125 58795 30559 26977067 26149707 17061068 16315533 89794 116658 57626041 58473122 2447426 1517180 16202746 12346290 18650172 13863470 X 38975869 44609652 38975869 44609652 57626041 58473122 6818634 -1184851 X false true X true false 817684 787125 30559 30559 POOLED SEPARATE ACCOUNTS 11934509 103-12 INVESTMENT ENTITY 4381024 16315533 IBNR - HEALTH BENEFITS 12266290 IBNR - DEATH BENEFITS 80000 12346290 X 64235237 -1184851 1 -1184850 65420087 65420087 62457913 4 4 62457909 -3856456 -3856456 58601453 SCHEDULE D, PAGE 3, PART X 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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE PLAN'S MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. SCHEDULE D, PAGE 4, PART XI, LINE 2D ROUNDING 1 SCHEDULE D, PAGE 4, PART XII, LINE 2D ROUNDING 4 SCHEDULE D, PAGE 4, PART XII, LINE 4B NET DECREASE IN BENEFIT OBLIGATIONS: 0 06/30/18 BENEFIT OBLIGATIONS 12,346,290 06/30/17 BENEFIT OBLIGATIONS -16,202,746 true SCHOLARSHIPS 23 312951 SCHEDULE I, PAGE 1, PART I, LINE 2 ITPEU UTILIZES THE SERVICES OF A THIRD PARTY SERVICE PROVIDER TO DETERMINE ELIGIBILITY OF SCHOLARSHIP APPLICANTS AND TO DETERMINE AWARD MERIT BASED ON RULES AGREED UPON BY THE FUND. THE THIRD PARTY DETERMINES WHETHER STUDENT SELECTED COLLEGES, UNIVERSITIES OR VOCATIONAL TECHNICAL SCHOOLS ARE LEGITIMATE AND OPERATING WITHIN THE UNITED STATES. AWARDS ARE PAID DIRECTLY BY THE FUND TO THE SECONDARY EDUCATIONAL INSTITUTION ON BEHALF OF THE SCHOLARSHIP WINNERS. X true true X false false false DENNIS ARRINGTON CO-CHAIRMAN 166642 29856 9390 205888 CINDY DIEHM TRUSTEE 127707 18690 9390 155787 ROY BOYD FUND REPRESENTATIVE 209464 2686 212150 DENNIS CONLEY V. CO-CHAIRMAN 145499 19497 9390 174386 FORM 990, PART V FORM 990, PART V, LINE 2A - NUMBER OF W-3 EMPLOYEES THE FORM W-3 INCLUDED 14 EMPLOYEES OF THE ITPEU HEALTH AND WELFARE FUND AS WELL AS 773 PARTICIPANTS TO WHOM THE FUND PAID DISABILITY BENEFITS DURING THE YEAR. FORM 990, PART V, LINE 1A - NUMBER REPORTED IN BOX 3 FORM 1096 THE 2016 FORM 1096 INCLUDED 922 MEDICAL PROVIDERS OF THE ITPEU HEALTH AND WELFARE FUND TO WHOM THE FUND PAID DEATH BENEFITS AS WELL AS 3 INDEPENDENT CONTRACTORS WHO PROVIDED SERVICES TO THE FUND. FORM 990, PART VI FORM 990, PART VI, LINE 12A - CONFLICT OF INTEREST POLICY THE ORGANIZATION IS SUBJECT TO THE EMPLOYEES RETIREMENT INCOME SECURITY ACT OF 1974 WHICH CONTAINS CONFLICT OF INTEREST RESTRICTIONS. FORM 990, PAGE 6, PART VI, LINE 11B THE ADMINISTRATOR, ACCOUNTANT, ATTORNEY AND THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, LINE 15A BOARD OF TRUSTEES DETERMINES COMPENSATION FOR PLAN ADMINISTRATOR. FORM 990, PAGE 6, PART VI, LINE 15B BOARD OF TRUSTEES DETERMINES COMPENSATION FOR THE PLAN'S ACCOUNTANT. FORM 990, PAGE 6, PART VI, LINE 19 THE FORM 990 IS AVAILABLE TO THE PUBLIC ON THE GUIDESTAR WEBSITE, WWW.GUIDESTAR.ORG. OTHER GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. ITPEU OPEIU LOCAL 4873 (AFL-CIO) 14 CHATHAM CENTER SOUTH DR UNIT B SAVANNAH GA 31405 521847723 UNION GA 501C5 NA N/A false ITPEU PENSION FUND C/O ERISA SYSTEMS 216 NORTH AVE 2ND FLOOR CRANFORD NJ 07016 112506736 PENSION NJ 401A NA N/A false ITPEU ANNUAL BENEFIT FUND C/O ERISA SYSTEMS 216 NORTH AVE 2ND FLOOR CRANFORD NJ 07016 112823324 BENEFITS NJ 501C9 NA N/A false false false false false false false false false false false false false false false true true true false false ITPEU PENSION FUND O 9020 COST ITPEU ANNUAL BENEFIT FUND O 24804 COST ITPEU PENSION FUND Q 95062 COST ITPEU ANNUAL BENEFIT FUND P 16068 COST