2019-11-14T16:40:30-06:00 2018-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2018-01-01 386847980 AFL-CIO HEALTH & WELFARE TRUST AFL- 2026375250 815 16TH STREET NW WASHINGTON DC 20006 SAMANTHA CONNOLLY TRUSTEE 2026375250 2019-11-14 1 SCOTT E HALLBERG CPA P01081188 2023319880 38.100.43.98 2019-11-14 17:29:13 ES P 099BB351ED5C43DB8E4A0DD96B056B1430213725 AAC600C6407F438ED9881BB94AB08BDC6703F2AD 2018 2020-03-31 21:24:44Z SAMANTHA CONNOLLY 815 16TH STREET NW WASHINGTON DC 20006 37285286 0 X N/A X 2007 DC SEE SCHEDULE "O"THE TRUST WAS ESTABLISHED TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE EMPLOYEES OF THE AFL-CIO, AFFILIATED DEPARTMENTS, STATE AND LOCAL CENTRAL BODIES AND OTHER AFFILIATED ENTITIES. 6 0 0 0 0 0 0 0 42503547 36865758 230856 419528 0 0 42734403 37285286 0 0 35210878 34301514 0 0 0 0 0 1969679 1734901 37180557 36036415 5553846 1248871 21994678 22627021 844077 549420 21150601 22077601 THE TRUST WAS ESTABLISHED TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE EMPLOYEES OF THE AFL-CIO, AFFILIATED DEPARTMENTS, STATE AND LOCAL CENTRAL BODIES AND OTHER AFFILIATED ENTITIES. 0 0 PROVIDED MEDICAL, DENTAL, HEARING, VISION,LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE, AND PRESCRIPTION DRUG BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X DANIELLE J RARDIN 8592261783 333 WEST VINE STREET SUITE 500 LEXINGTON KY 40507 SAMANTHA CONNOLLY TRUSTEE 2.00 38.00 X 0 144369 67744 KENNETH DEAN TRUSTEE (EFF. 8/21/18) 2.00 35.00 X 0 326553 100851 BERNARD EVERS TRUSTEE (THROUGH 8/20/18) 2.00 35.00 X 0 261095 91836 RAYMOND LIEBFRIED TRUSTEE 2.00 38.00 X 0 121528 62261 KANDY MORTON TRUSTEE 2.00 38.00 X 0 81624 44993 MICHAEL NOONAN TRUSTEE 2.00 38.00 X 0 0 24269 ELIZABETH SHULER TRUSTEE 2.00 38.00 X 0 241825 25452 0 1176994 417406 0 0 1 0 UNITED HEALTHCARE 9700 HEALTH CARE LANE MINNETONKA MN 55343 CLAIMS PROCESSOR 897953 SEGAL ONE PARK AVENUE 8TH FLOOR MANHATTAN NY 100165895 ACTUARY 430385 UMR 333 WEST VINE STREET SUITE 500 LEXINGTON KY 40507 ADMINISTRATOR 234788 3 EMPLOYER CONTRIBUTIONS 900099 35741202 35741202 PRESCRIPTION DRUG REBATES 900099 961701 961701 EMPLOYEE CONTRIBUTIONS 900099 162855 162855 36865758 419528 419528 37285286 36865758 0 419528 34301514 234788 78312 39815 430385 25507 55 9315 CLAIMS PROCESSING FEES 897953 BANK FEES 9631 PCORI FEES 9140 36036415 1351296 1962212 800745 726595 7277 6990 19835360 19931224 21994678 22627021 185216 218177 658861 331243 844077 549420 X 0 0 0 0 21150601 22077601 21150601 22077601 21994678 22627021 1248871 -321871 0 X X 0 1 X 1 0 0 X 36001714 -321871 -321871 36323585 961701 961701 37285286 35074714 0 35074714 961701 961701 36036415 PART X, LINE 2: THE PLAN FOLLOWS THE AUTHORITATIVE GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES INCLUDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC INCOME TAXES. THESE PROVISIONS PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTD TO BE TAKEN IN A TAX RETURN. THE PLAN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2018, THE STATUTE OF LIMITATIONS FOR TAX YEARS 2015 THROUGH 2017 REMAINS OPEN WITH THE U.S. FEDERAL JURISDICTION AND THE VARIOUS STATES AND LOCAL JURISDICTIONS IN WHICH THE PLAN FILES RETURNS. IT IS THE PLAN'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN UNRELATED BUSINESS INCOME TAX EXPENSE. PART XI, LINE 4B - OTHER ADJUSTMENTS: PRESCRIPTION DRUGE REBATES NETTED WITH CLAIMS 961,701. PART XII, LINE 4B - OTHER ADJUSTMENTS: PRESCRIPTION DRUGE REBATES NETTED WITH CLAIMS 961,701. 0 0 0 SAMANTHA CONNOLLY TRUSTEE 0 140369 0 4000 0 0 0 34589 0 33155 0 212113 0 0 KENNETH DEAN TRUSTEE (EFF. 8/21/18) 0 326553 0 0 0 0 0 77257 0 23594 0 427404 0 0 BERNARD EVERS TRUSTEE (THROUGH 8/20/18) 0 261095 0 0 0 0 0 68242 0 23594 0 352931 0 0 RAYMOND LIEBFRIED TRUSTEE 0 118528 0 3000 0 0 0 29347 0 32914 0 183789 0 0 ELIZABETH SHULER TRUSTEE 0 238975 0 0 0 2850 0 0 0 25452 0 267277 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE PLAN'S INDEPENDENT AUDIT FIRM. IT IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 PURSUANT TO SECTION 101 OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, 29 U.S.C. 1021 AND SECTION 502 OF THE PENSION PROTECTION ACT OF 2006, THE TRUST IS REQUIRED TO PROVIDE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO ITS PARTICIPANTS AND PARTICIPATING EMPLOYERS. SUCH DOCUMENTS ARE AVAILABLE, UPON REQUEST, TO THOSE INDIVIDUALS. THOSE DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XII, LINE 2C ANNUAL AUDIT PROCESS: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AFL-CIO 815 16TH STREET NW WASHINGTON DC 20006 530228172 UNION ORGANIZATION DC 501(C)(5) 0 ALABAMA AFL-CIO GEORGIA STATE AFL-CIO NORTH CAROLINA STATE AFL-CIO LOUISIANA AFL-CIO MARYLAND STATE & DC AFL-CIO MINNESOTA AFL-CIO MILWAUKEE LABOR COUNCIL MISSISSIPPI AFL-CIO MISSOURI AFL-CIO CONNECTICUT AFL-CIO TENNESSEE LABOR COUNCL AFL-CIO TEXAS STATE AFL-CIO VIRGINIA STATE AFL-CIO WISCONSIN STATE AFL-CIO AFL-CIO EFCU CPWR THE CENTER FOR CONSTRUCTION RESEARCH AND TRAINING CENTER FOR WORKING CAPITAL COALITION OF KAISER PERMANENTE AFL-CIO DEPARTMENT FOR PROFESSIONAL EMPLOYEES AFL-CIO DISTRICT NO 10 IAMAW FOOD & ALLIED SERVICE TRADES GCCIBT NATIONAL PENSION FUND GRAPHIC ARTS INDUSTRY JOINT PENSION TRUST IFPTE LOCAL 194 IFPTE LOCAL 195 INDUSTRIAL UNION DEPARTMENT INT'L ALLIANCE OF THEATRICAL STAGE EMPLOYEES MOVING PICTURE TECHNICIANS ART INT'L ASSOC OF HEAT & FROST INSUL & ALLIED WORKERS INTL FED OF PROFESSIONAL & TECHNICAL ENGINEERS AFL-CIO LAWYERS COORDINATING COMMITTEE MARITIME TRADES DEPARTMENT AFL-CIO METAL TRADES DEPARTMENT AFL-CIO NATIONAL COORDINATING COMMITTEE FOR MULTIEMPLOYER PLANS NATIONAL LABOR COLLEGE OPERATIVE PLASTERERS AND CEMENT MASONS' INT'L ASSOC OF THE US AND CANADA PUBLIC EMPLOYEES DEPARTMENT UNION LABEL & SERVICE TRADES DEPARTMENT AFL-CIO UNITED UNION OF ROOFERS WATERPROOFERS AND ALLIED WORKERS UTILITY WORKERS UNION OF AMERICA IA OF BSO&R IRON WORKERS - ACTIVES TOOL AND DIE MAKERS LODGE LOCAL 78 NEW HAMPSHIRE AFL-CIO COMMUNICATIONS WORKERS OF AMERICA (CWA) ASIAN PACIFIC AMERICAN LABOR ALLIANCE ALLIANCE FOR RETIRED AMERICANS UTILITY WORKERS UNION LOCAL 1-2 NUCLEAR POWER LABOR MANAGEMENT COOPERATION COMMITTEE TRUST NYC CENTRAL LABOR COUNCIL OPEIU LOCAL UNION 2 OPEIU LOCAL UNION 277 THE FOUNDATION FOR FAIR CONTRACTING AMERICAN POSTAL WORKERS UNION LOCAL 147 HARTFORD FEDERATION OF TEACHERS LOCAL 1018 IA OF BSO&R IRON WORKERS - RETIREES INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS LOCAL 457 LABOR EDUCATION & TRAINING CENTER NEW HAVEN FEDERATION OF TEACHERS LOCAL 933 NORTH AMERICAN BUILDING TRADES UNION OPCIMA-INTERNATIONAL TRAINING FUND OPEIU LOCAL 9 ALLIANCE OF HEALTH CARE UNIONS NEBRASKA STATE AFL-CIO WASHINGTON-BALTIMORE NEWS GUILD AFL-CIO HOUSING INVESTMENT TRUST 2401 PENNEYLVANIA AV NW STE 200 WASHINGTON DC 20037 526220193 COMINGLED INVESTMENT COMPANY-MUTUAL FUND DC C 0 AFL-CIO INVESTMENT TRUST CORP 1425 K STREET NW STE 900 WASHINGTON DC 20005 522136736 INSTITUTIONAL INVESTOR RELATIONS FIRM DC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1988380.90 0 0 0