2019-11-13T12:57:15-08:00 2018-12-31 Cuneo Lawson Shay & Staley 1100 Main Street Suite 2880 Kansas City MO 64105 990 2018-01-01 367485085 MIDDLETOWN WORKS HOURLY & SALARIED UNION RETIREES HEALTH CARE FUND MIDD 8778295500 1201 CRAWFORD STREET MIDDLETOWN OH 45044 Brian Daley Chair 8778295500 2019-11-07 true Ronald L Eib P00380563 8168420805 216.21.166.160 2019-11-13 12:57:08 PS P 55DB3EB3728BCFF47DFC936A44221F9FC6D26252 410B67FFC14597DB28A7DF5DE6F4F469271CD7F9 2018 2020-04-17 16:48:07Z Brian Daley 1201 Crawford St Middletown OH 45044 144677828 false X N/A X 2008 OH TO PROVIDE HEALTH BENEFITS 5 0 0 0 0 0 0 0 13959870 13551312 22529353 42142559 0 0 36489223 55693871 0 0 50303457 49110908 92500 92500 0 0 0 2333516 2594886 52729473 51798294 -16240250 3895577 675366551 614265909 240692 228466 675125859 614037443 TO PROVIDE HEALTH BENEFITS false false To provide medical, prescription drug, dental, vision and/or life insurance benefits for eligible retirees and their dependents. 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 false false false false false false false false false false false false false false false false false true 12 0 true 0 false false false false false false false false X 5 0 false true false false false false false true true false false true false false true false false false X ZENITH AMERICAN SOLUTIONS 8773929991 1201 CRAWFORD STREET MIDDLETOWN OH 45044 Brian Daley Chair 8.00 X 11500 0 0 Roger McClow Co-Chair 8.00 X 32000 0 0 Jay Youngdahl Trustee 8.00 X 30000 0 0 Roger Minor Trustee 8.00 X 9500 0 0 Michael Bailey Trustee 8.00 X 9500 0 0 92500 0 0 false false false Zenit Business Solutions Inc 3333 N Mayfair Rd Suite 201 Wauwatosa WI 53222 TPA 774403 Express Scripts 100 Parsons Pond Drive Franklin Lakes NJ 07417 Pharmacy benefit manager 589981 Zelis Claims Integrity 2 Crossroads Dr Bedminster NJ 07921 Claims negotiation 293233 United Health Care 185 Asylum Street Hartford CT 06103 Medical network access 209608 Amalgamated Bank 275 7th Ave New York NY 10001 Investment manager 116733 7 Employer group waiver plan rebate 900099 6051614 0 0 Prescription drug rebates 900099 3676259 0 0 Subrogation 900099 111754 0 0 Self pay contributions 900099 3711685 0 0 13551312 16098862 0 16098862 115027654 88983957 26043697 26043697 0 0 26043697 55693871 13551312 0 42142559 49110908 49110908 92500 92500 0 0 653958 653958 0 0 19295 19295 0 0 25500 25500 0 0 281336 281336 0 0 1290463 1290463 0 0 164458 164458 0 0 21161 21161 0 0 61507 61507 0 0 PCORI fees 12758 0 0 0 Consulting 64450 0 0 0 51798294 51721086 0 0 -57175 494128 16504127 18925791 4733544 5336969 21281 20113 654164774 589488908 675366551 614265909 158167 175606 82525 52860 240692 228466 X 675125859 614037443 675125859 614037443 675366551 614265909 3895577 -64983993 X false true X true false -9571458 -64983993 -64983993 55412535 281336 281336 55693871 51516958 51516958 281336 281336 51798294 Pt VI, Line 3 ALTHOUGH THE TRUSTEES MAINTAIN ULTIMATE CONTROL AND RESPONSIBILITY FOR THE PLAN, THEY HAVE DELEGATED THE DAY-TO-DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. Pt VI, Line 11b A COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES FOR THEIR REVIEW. FORM 990 IS SIGNED AND FILED ONLY AFTER ANY QUESTIONS ARE ANSWERED AND ANY REVIEW CHANGES ARE MADE. Pt VI, Line 19 NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. ANY PARTICIPANT WILL BE PROVIDED A COPY UPON REQUEST. Pt VI, Line 15b ALTHOGH THE PLAN DOES NOT USE THE METHODS LISTED IN PART VI,SECTION B, NUMBER 15 TP DETERMINE COMPENSATION, THE PLAN HAS ADOPTED A FORMAL COMPENSATION POLICY.