2018-11-15T10:55:17-06:00 2017-12-31 WITHUMSMITHBROWNPC 4600 EAST WEST HWY 900 BETHESDA MD 208143423 990 2017-01-01 526044428 UNITED FOOD AND COMMERCIAL WORKERS UNIONS AND PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND % ASSOCIATED ADMINISTRATORS L UNIT 4106836500 8400 Corporate Drive Suite 430 LANDOVER MD 207852361 MARK FEDERICI DONNA GWIN TRUSTEES 4106836500 2018-11-05 true RICHARD L RUVELSON P00234075 3012726000 209.190.253.84 22006220183195000182 2018-11-15 P 6B2DCC29B9AE976A0631C1CACD1A43C5F133FDF6 CDE1CE6B985DE454D8332C6A12207530D84425F4 2017 2019-02-21 02:37:17Z MARK FEDERICI UFCW LC400 8400 CORPORATE DR LANDOVER MD 20785 50034930 false X n/a X 1961 MD established by the ufcw int'l union, ufcw local unions 27 & 400 and participating employers, to receive contributions & hold assets for a multiemployer employee benefit fund. 8 0 0 0 0 0 0 48926554 48115764 117637 67039 22500 22500 49066691 48205303 0 0 44508241 42998180 0 0 0 0 0 4278673 4322275 48786914 47320455 279777 884848 8663224 9418073 489521 343642 8173703 9074431 THE TRUST WAS ESTABLISHED BY UNITED FOOD AND COMMERICAL WORKERS LOCAL UNIONS 27 AND 400 AND PARTICIPATING EMPLOYERS TO RECEIVE CONTRIBUTIONS AND HOLD THE ASSETS FOR A MULTIEMPLOYER, COLLECTIVELY BARGAINED EMPLOYEE BENEFIT PLAN. false false SERVED AS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT FUND THAT PROVIDES MEDICAL, HOSPITAL, ACCIDENT AND SICKNESS, MENTAL HEALTH AND SUBSTANCE ABUSE, PRESCRIPTION DRUG, DENTAL, VISION, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO PARTICIPANTS AND DEPENDENTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS AND PARTICIPATION AGREEMENTS. false false false false false false false false false false false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 1122 0 true 0 false false false false false false X 8 0 true false false false false true false true true false false true true true true true true false false false X ASSOCIATED ADMINISTRATORS L 4106836500 911 RIDGEBROOK ROAD SPARKS MD 21152 X MARK FEDERICI CHAIRMAN/UNION TRUSTEE 1.0 39.0 X X 0 202649 27810 STEVE LOEFFLER EMPLOYER TTEE (THRU 12/31/17) 1.0 39.0 X X 0 0 0 YOLANDA ANWAR UNION TRUSTEE 1.0 39.0 X 0 117776 24840 ATHAR BILGRAMI EMPLOYER TRUSTEE (THRU 7/4/17) 1.0 39.0 X 0 0 0 JON BORN EMPLOYER TRUSTEE 1.0 39.0 X 0 0 0 MICHELLE EUBANK UNION TRUSTEE (THRU 02/24/17) 1.0 39.0 X 0 118945 22127 DONNA GWIN EMPLOYER TRUSTEE 1.0 39.0 X 0 0 0 LAVORIS HARRIS UNION TRUSTEE (THRU 04/01/17) 1.0 39.0 X 0 171465 26946 THOMAS HIPKINS UNION TRUSTEE 1.0 39.0 X 0 165420 22293 GEORGE MURPHY JR UNION TRUSTEE 1.0 39.0 X 0 0 0 STEVEN SPRINGER EMPLOYER TRUSTEE 1.0 39.0 X 0 0 0 0 776255 124016 0 false true false ASSOCIATED ADMINISTRATORS LLC 911 RIDGEBROOK RD SPARKS MD 211529451 CLAIMS/CONTRACT FEES 1566892 ANTHEM BLUE CROSSBLUE SHIELD 9075 CENTRE POINT DR STE 200 WEST CHESTER OH 45069 CLAIMS ADMIN FEES 972034 SLEVIN HART PC 1625 MASSACHUSETTS AVENUE NW STE 4 WASHINGTON DC 20036 LEGAL SERVICES 511661 CONIFER VALUE-BASED CARE LLC 1596 WHITEHALL ROAD ANNAPOLIS MD 21401 MEDICAL MANAGEMENT 486583 AETNA 1351 WM HOWARD TAFT ROAD CINCINNATI OH 45206 CLAIMS PROCESSING 345727 6 0 EMPLOYERS CONTRIBUTIONS 525100 47583086 47583086 PARTICIPANTS CONTRIBUTIONS 525100 532678 532678 48115764 86819 86819 0 0 0 0 0 1809847 1829627 -19780 -19780 -19780 0 0 0 0 0 0 0 0 0 EDUCATIONAL FUNDING 900099 22500 22500 22500 48205303 48115764 89539 0 0 0 42998180 0 0 0 0 0 0 0 796873 62150 0 0 5899 3308017 0 72273 0 0 0 0 0 11955 0 0 0 32889 ACA EXCISE FEES 20148 FAIR HEALTH COSTS 7313 OTHER TAXES 3556 DUES 1150 52 47320455 25182 176317 3237563 4823712 0 0 3358584 2572168 0 0 0 0 0 0 0 0 19033 16609 0 0 1748369 1809847 0 0 0 0 0 0 274493 19420 8663224 9418073 489521 213335 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130307 489521 343642 X 0 0 0 0 8173703 9074431 8173703 9074431 8663224 9418073 884848 15880 X false true X true false 0 EMPLOYER DEPOSITS 130307 130307 X 48215284 15880 15880 48199404 5899 5899 48205303 47314556 47314556 5899 5899 47320455 PART X, LINE 2 - FIN 48 FOOTNOTE: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken and recognize a tax liability if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has evaluated the tax positions taken by the Plan and concluded that as of December 31, 2017 there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. In addition, there have been no tax related interest or penalties for the periods presented in these financial statements. false false false MARK FEDERICI CHAIRMAN/UNION TRUSTEE 0 192420 10229 0 9373 0 18437 0 230459 0 0 LAVORIS HARRIS UNION TRUSTEE (THRU 04/01/17) 0 156045 15420 0 8509 0 18437 0 198411 0 0 THOMAS HIPKINS UNION TRUSTEE 0 165420 0 3339 0 18954 0 187713 0 0 PART VI, SECTION A, LINE 2 - BUSINESS RELATIONSHIPS: TRUSTEES MARK FEDERICI, YOLANDA ANWAR AND LAVORIS HARRIS (AS OF HER TIME OF DEPARTURE FROM THE BOARD) SERVE AS PRESIDENT, VICE PRESIDENT AND SECRETARY-TREASURER OF THE UNITED FOOD AND COMMERICAL WORKERS LOCAL NO. 400. TRUSTEES MICHELLE EUBANK (AS OF HER TIME OF DEPARTURE FROM THE BOARD) AND THOMAS HIPKINS SERVE AS RECORDER/FIELD ASSISTANT TO THE PRESIDENT AND SECRETARY-TREASURER OF THE UNITED FOOD AND COMMERICAL WORKERS LOCAL 27, AFL-CIO. PART VI, SECTION A, LINE 7A - SELECTION OF TRUSTEES: When a Trustee vacancy arises, the Fund's Trust Agreement provides that the United Food and Commercial Workers, International Union, AFL-CIO, Locals Nos. 27 and 400, have the power to appoint Union Trustees for the Fund, and the covered employers have the power to appoint Employer Trustees to the Fund. PART VI, SECTION B, LINE 11B - REVIEW PROCESS OF FORM 990: THE BOARD OF TRUSTEES IS PROVIDED A DRAFT OF THE FORM 990 FOR REVIEW PRIOR TO SUBMISSION OF THE FORM 990. PART VI, SECTION B, LINE 12C - CONFLICT OF INTEREST POLICY: The Fund is maintained and administered in accordance with ERISA Sections 404 and 406 and the Fund's conflict of interest policy is set forth in ERISA Sections 404 and 406. The Board of Trustees monitors and enforces the Fund's compliance with ERISA, with the assistance of the Fund's professionals. PART VI, SECTION C, LINE 19-GOVERNING DOCUMENTS, POLICIES & F/S: The Fund makes its governing documents, policies and financial statements available to participants and beneficiaries as required by Employee Retirement Income Security Act of 1974 (ERISA). UFCW LOCAL 27 AFL-CIO 21 WEST ROAD BALTIMORE MD 21204 521265190 LABOR ORG MD 501(C)(5) false UFCW LOCAL NO 400 8400 CORPORATE DRIVE SUITE 200 LANDOVER MD 20785 530241580 LABOR ORG MD 501(C)(5) false BD OF TTEES UFCW UNIONS & PARTICIPATING 4301 GARDEN CITY DRIVE SUITE 201 LANDOVER MD 20785 PLAN SPONSOR MD false KEL-CO FEDERAL CREDIT UNION ASSOCIATED ADMINISTRATORS LLC KROGER FOOD STORES PERKINS MANAGEMENT SERVICES COMPANY INC SAFEWAY INC SUPERVALU INC (SHOPPERS) false false false false false false false false false false false false true true false false false false true PART IV - RELATED ORGANIZATIONS TAXABLE AS CORPORATIONS: THE ORGANIZATIONS LISTED AS RELATED ARE ALL CONTRIBUTING EMPLOYERS TO THE HEALTH AND WELFARE FUND AND THE INSTRUCTIONS ONLY REQUIRE THE NAME OF THE ORGANIZATIONS ON THIS FORM.