2025-11-07T16:02:19-05:00 2024-12-31 MILLER KAPLAN ARASE LLP 3900 W ALAMEDA AVE STE 2400 BURBANK CA 915054302 990 2024-01-01 010757287 UFCW-HAWAII FOOD EMPLOYERS HEALTH AND WELFARE TRUST FUND % PSWA UFCW 8088417575 560 NORTH NIMITZ WAY SUITE 114B HONOLULU HI 96817 PATRICK LOO TRUSTEE 8088417575 2025-11-03 true true Kami B Cohen P00642929 8187692010 2024 2025-03-06 01:10:19Z X PATRICK K LOO 560 NORTH NIMITZ WAY SUITE 114B HONOLULU HI 96817 26819275 false X N/A X 2002 HI SEE SCHEDULE O 4 4 0 0 0 0 0 0 23084506 22649806 420976 745394 0 0 23505482 23395200 0 0 17425004 17438658 0 0 0 0 0 1257494 1202791 18682498 18641449 4822984 4753751 21531766 26769813 4298108 4691995 17233658 22077818 X THE PLAN IS DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS OF THE PLAN, SUCH AS MEDICAL, DENTAL, PRESCRIPTION DRUGS, CHIROPRACTIC, VISION AND LIFE INSURANCE. false false THE PLAN IS DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS OF THE PLAN, SUCH AS MEDICAL, DENTAL, PRESCRIPTION DRUGS, CHIROPRACTIC, VISION AND LIFE INSURANCE. 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 false false false false false false false false false false false false true false false true 2 0 true 0 true false false false false false false false false X 4 4 false true false false false false false true false false false true true true true true true false false false X PSWA 8085379953 560 NORTH NIMITZ WAY SUITE 114B HONOLULU HI 96817 X PATRICK K LOO LABOR TRUSTEE 1.0 0.0 X 0 0 0 GWEN RULONA LABOR TRUSTEE 1.0 0.0 X 0 0 0 PENNY SCHUMACHER MANAGEMENT TRUSTEE 1.0 0.0 X 0 0 0 BRENT BOHN MANAGEMENT TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false Verdegard 1440 KAPIOLANI BLVD HONOLULU HI 96814 CLAIMS ADMINISTRATOR 434243 HAWAII BENEFIT ADMINISTRATORS INC 200 N VINEYARD BLVD STE 100 HONOLULU HI 96817 THIRD PARTY ADMIN. 219951 MCCRAKEN STEMERMAN HOLSBERRY 475 14 ST STE 1200 OAKLAND CA 94612 LEGAL 110309 3 0 EMPLOYER CONTRIBUTIONS 900099 22085051 22085051 0 0 SELF PAY & COBRA CONTRIBUTIONS 900099 564755 564755 0 0 22649806 742228 0 0 742228 0 0 0 0 0 3427241 3424075 3166 3166 0 0 0 0 0 0 0 0 0 0 23395200 22649806 0 742228 0 0 0 17438658 0 0 0 0 0 0 219951 110497 47000 0 0 17173 112675 0 81652 12665 0 0 0 0 2464 0 0 0 8622 MEDICAL CLAIMS ADMIN. 443472 MEMBER SERVICE REIMBURSEMENTS 48008 PRESCRIPTION CLAIMS ADMIN. 45237 DENTAL CLAIMS ADMIN. 50669 2706 18641449 -228566 3124794 10759862 12258816 0 0 2910403 3005652 0 0 0 0 0 0 0 0 0 0 0 0 7552550 7834971 0 0 0 0 0 0 537517 545580 21531766 26769813 62111 49495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4235997 4642500 4298108 4691995 X 0 0 0 0 17233658 22077818 17233658 22077818 21531766 26769813 4753751 90409 X X false true X true 0 BENEFIT OBLIGATIONS 4642500 4642500 X 23485609 90409 90409 23395200 23395200 18641449 18641449 18641449 PART X, LINE 2: THE PLAN HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN A TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAX AUTHORITY. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART I, LINE 1 AND PART III, LINES 1 AND 4A: THE PLAN IS DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS OF THE PLAN, SUCH AS MEDICAL, DENTAL, PRESCRIPTION DRUGS, CHIROPRACTIC, VISION AND LIFE INSURANCE. PART VI, SECTION A, LINE 3: THE PLAN HAS DELEGATED MANAGEMENT DUTIES TO A THIRD PARTY ADMNINISTRATOR. PART VI, SECTION A, LINE 8B: THE PLAN DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. PART VI, SECTION B, LINE 11B: FORM 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES AND PLAN ADMINISTRATOR AND REVIEWED BY AN AUTHORIZED TRUSTEE PRIOR TO FILING. PART VI, SECTION B, LINE 12C: THE TRUSTEES OF THE PLAN COMPLETE AND SIGN CONFLICT OF INTEREST FORMS ANNUALLY AT THEIR BOARD OF TRUSTEES MEETING. PART VI, SECTION B, LINE 15: MEMBERS OF THE GOVERNING BODY DO NOT RECEIVE COMPENSATION. PART VI, SECTION C, LINE 19: THE PLAN DOCUMENT AND ANY OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, INCLUDING THE FINANCIAL STATEMENTS ARE MAINTAINED AT THE PLAN ADMINISTRATOR'S OFFICE AND ARE AVAILABLE UPON WRITTEN REQUEST. ADDITIONALLY, COPIES OF FINANCIAL STATEMENTS ARE DISTRIBUTED TO THE TRUSTEES OF THE PLAN ON A REGULAR BASIS. PART VII, SECTION A: ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM RELATED TAX-EXEMPT ORGANIZATIONS IS AVAILABLE ON THOSE ORGANIZATIONS' FORM 990. PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. THIS INFORMATION IS AVAILABLE AT THE NA THIS INFO IS AVAILABLE AT THE NA THIS INFORMATION IS AVAILABLE AT THE NA false false false false false false false false false false false false false false false true false false false