2017-03-31T10:38:16-00:00 2016-05-31 Bennett & Associates CPAs PLLC 100 Huronview Blvd Ann Arbor MI 48103 990 2015-06-01 386065578 UA Local 190 Health and Welfare Trust UALO 2486456550 30700 Telegraph Road Room 2400 Bingham Farms MI 48025 Kevin Groeb and Sandra Miller Trustees 2017-03-31 true James H Bennett CPA 7346228015 2017-03-31 2015 2021-01-29 14:40:06Z X Kevin Groeb Sandra Miller 7920 Jackson Road Suite B Ann Arbor MI 48103 14926462 false X www.ua190benefits.org X 1952 MI Payment of health care claims and insurance premiums on behalf of union members and their dependents 8 8 34 9 0 0 15052463 14506453 506274 420009 0 15558737 14926462 0 13232947 12871894 0 0 0 1139545 1176582 14372492 14048476 1186245 877986 22031717 22375691 1740638 1559427 20291079 20816264 Payment of health care claims and insurance premiums on behalf of union members and their dependents false false All revenues and expenses are related to paying health and welfare claims and premiums of union members and their dependents false false false false false false false false false false false false false true 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 true false false true 1 0 true 34 true false false false false false false X 8 8 true false false false false false false true true false false false false false false false false false X James Schreiber TIC International Corp 5173272131 6525 Centurion Dr Lansing MI 48917 X Jeff Henry Trustee 000.10 000.10 X 0 0 0 Dave Forbes Chairman 000.10 000.10 X X 0 0 0 Kevin Groeb Trustee 000.10 000.10 X 0 0 0 Sandra Miller Secretary 000.10 000.10 X X 0 0 0 Michael Darr Trustee 000.10 000.10 X 0 0 0 John Darr Trustee 000.10 000.10 X 0 0 0 Keith Jones Trustee 000.10 000.10 X 0 0 0 Jeremy Finn Trustee 000.10 000.10 X 0 0 0 Douglas Mayher Jr Alternate Trustee 000.10 000.10 X 0 0 0 false false false Blue Cross Blue Shield of Michigan 27000 W 11 Mile Rd Southield MI 48034 Claims Processing 724533 Benefit Advisors Inc 24900 Harper Ave St Clair Shores MI 48080 Administration 211899 2 Employer Contributions 525100 13397870 13397870 Participant Contributions 525100 1108583 1108583 14506453 420009 420009 14926462 14506453 420009 0 0 0 12871894 0 0 0 0 0 0 211899 88369 18900 0 10776 26917 0 20685 0 0 0 0 0 3733 0 0 0 944 Blue Cross Blue Shield administration fees 724533 Delta Dental administration fees 56868 12958 14048476 906002 1331968 1770124 1775285 1585672 1441204 531873 527191 17236391 17298358 1655 1685 22031717 22375691 521561 333659 1219077 1225768 1740638 1559427 X 20291079 20816264 20291079 20816264 22031717 22375691 877986 -352801 X false true X false false false Financial derivatives and other financial products Closely-held equity interests Federal income taxes Benefit claims payable 1225768 1225768 14573661 -352801 -352801 14926462 14926462 14041785 14041785 6691 6691 14048476 XII 4b Benefit reserve adjustment Form 990, Part VI, Section A, Line 2 John Darr, Trustee and Michael Darr, Trustee are brothers. Form 990, Part VI, Section B, Line 11b The Board of Trustees relies heavily on its third party administrator, which has professional accountants on staff, and legal counsel for review and proper completion of Form 990. The Form 990 is reviewed by one or more CPAs employed by the third party administrator. It is then forwarded to legal counsel for a second review and is finally reviewed by the Board of Trustees Oversight Committee, which consists of one union and one management trustee before it is executed by those trustees, one of whom is an officer of the organization. Form 990, Part VI, Section C, Line 19 The governing documents for the UA Local 190 Health and Welfare Plan and the UA Local 190 Medicare Retiree Health and Welfare Plan are available to participants and beneficiaries upon request. Financial statements are included in the annual filing of the Form 5500 for the UA Local 190 Health and Welfare Plan and of the Form 5500 for the UA Local 190 Medicare Retiree Health and Welfare Plan, and are available on the Department of Labors website. UA Local 190 Sub Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 237116328 Sub Fund MI 501c17 N/A false UA Local 190 Pension Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 386065579 DB Pension MI 501a N/A false UA Local 190 Defined Contribution Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 383316535 DC Pension MI 501a N/A false UA Local 190 Individual HRA Plan 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 260268950 Health Savings MI 501c9 N/A false UA Local 190 7920 Jackson Road Suite B Ann Arbor MI 48103 380895168 Collective Bargaining MI 501c5 N/A false Greater Michigan PMC 58 Parkland Plaza 600 Ann Arbor MI 481036209 386087681 Industry Advancement MI 501c6 N/A false Board of Trustees of the UA Local 190 Health & Welfare Trust 30700 Telegraph Road Suite 2400 Bingham Farms MI 48025 386065578 VEBA MI 501c9 N/A false false false false false false false false false false false false false false false false false false false true