2019-10-15T13:01:48-05:00 2019-05-31 383388760 POLK AND ASSOCIATES PLC 3135 S STATE ST STE 208 ANN ARBOR MI 48108 990 2018-06-01 386141764 JOINT BOARD OF TRUSTEES IBEW 252 HEALTH AND WELFARE TRUST FUND JOIN 7346632178 3135 S STATE ST STE 105 ANN ARBOR MI 481081653 WILLIAM WHITE TRUSTEE 7346632178 2019-10-10 RICHARD G WILLIAMS JR P00640009 7347410400 2019-10-15 12.52.130.162 2019-10-15 13:01:48 CD P 31CC48205A50F4F93B49D527CF43995DB1EFA6AC 5AC479F9F138809452A099B2F555404B06A0D5CD 2018 2019-02-21 02:37:17Z WILLIAM WHITE 13400 LUICK DR CHELSEA MI 48118 24729756 false X X 1966 MI PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS 6 0 0 8 0 0 13475995 11859889 279395 380168 0 13755390 12240057 0 6656124 7507605 0 0 0 5374786 4428089 12030910 11935694 1724480 304363 12809677 13133164 179171 266892 12630506 12866272 PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS false false 7507605 SELF FUNDED PAYMENTS FOR LOSS OF TIME AND MEDICAL,DENTAL, VISION & PRESCRIPTION BENEFITS. COVERS MEMBERS AND DEPENDENTS. 1,840 PERSONS COVERED FOR 5/31/19. 2379094 INSURED COVERAGE FOR LIFE,ACCIDENTAL DEATH FOR MEMBERS ONLY,PLUS STOP-LOSS COVERAGE FOR THE MEDICAL BENEFITS. 902386 RECIPROCAL PAYMENTS. 10789085 false false false false false false false false false true false false false false false true false false false false false false false false false false false false false false false false true false false false false false false false false false false true 0 0 false 0 false false false false false false false false X 6 0 false false true false true true false true true false false true true true true true true false false false X BANK OF ANN ARBOR 7346631128 125 S FIFTH 125 S FIFTH ANN ARBOR MI 481078009 X MICHAEL COX TRUSTEE 8.00 X 0 0 0 ROBERT TURNER TRUSTEE 8.00 X 0 0 0 WILLIAM WHITE TRUSTEE 8.00 X 0 0 0 ERIC MALEY TRUSTEE 8.00 X 0 0 0 RYAN HUSSE ALTERNATE TR 8.00 X 0 0 0 SANDRA WIITALA TRUSTEE 8.00 X 0 0 0 JOHN KREGER TRUSTEE 8.00 X 0 0 0 DAN CERVENAN ALTERNATE TR 8.00 X 0 0 0 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 232 S CAPITOL AVENUE LANSING MI 48933 ADMINISTRATION 616311 ANN ARBOR BENEFIT ADMINISTRATORS 3135 S STATE ST STE 105 ANN ARBOR MI 481081653 ADMINISTRATION 276359 CONLIN MCKENNEY & PHILBRICK PC 350 SOUTH MAIN ST STE 400 ANN ARBOR MI 48104 LEGAL 119822 3 MEMBERSHIP DUES & ASSESSMENTS 11859889 11859889 11859889 382835 382835 12487032 12489699 -2667 -2667 -2667 12240057 12240057 7507605 7507605 892670 892670 119822 119822 22132 22132 36811 36811 8834 8834 INSURANCE EXPENSES 2379094 2379094 RECIPROCAL PAYMENTS 902386 902386 CONSULTING FEE 36084 36084 ACTUARIAL FEE 19067 19067 11189 11189 11935694 10789085 1146609 0 140717 80968 959413 1047810 986014 969327 252458 252458 10723533 11035059 12809677 13133164 179171 266892 179171 266892 X 12630506 12866272 12630506 12866272 12809677 13133164 304363 -68597 X X false true X true false 252458 252458 12171460 -68597 -68597 12240057 12240057 11935694 11935694 11935694 ROBERT TURNER PARTICIPANT PLAN PARTICIPANT false MICHAEL COX PARTICIPANT PLAN PARTICIPANT false WILLIAM WHITE PARTICIPANT PLAN PARTICIPANT false RYAN HUSSE PARTICIPANT PLAN PARTICIPANT false SANDRA WIITALA PARTICIPANT PLAN PARTICIPANT false FORM 990, PAGE 6, PART VI, LINE 4 THE PLAN ADOPTED AMENDMENTS AS ATTACHED. FORM 990, PAGE 6, PART VI, LINE 6 UNION MEMBERS OF INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS 252 FORM 990, PAGE 6, PART VI, LINE 7A BOARD OF TRUSTEES ARE ELECTED BY THE IBEW 252 UNION MEMBERS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 WAS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF TRUSTEES BEFORE FILING. NO REVIEW WAS CONDUCTED. FORM 990, PAGE 6, PART VI, LINE 12C THE RELEVANT CONFLICT OF INTEREST POLICY STATES: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE ORGANIZATION IS TAX EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE FUND OFFICE, 3135 S STATE ST., SUITE 105, ANN ARBOR, MI 48108. FORM 990, PART XII LINE 1 - METHOD OF ACCOUNTING ACCRUAL METHOD OF ACCOUNTING EXCEPT THAT NO ESTIMATE HAS BEEN MADE FOR HEALTH AND DISABILITY CLAIMS INCURRED BUT NOT REPORTED TO THE PLAN ADMINISTRATOR.