2016-02-12T12:41:48-06:00 2015-03-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT SUITE 500 AUBURN HILLS MI 48326 990 2014-04-01 381328578 MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND MICH 3139642400 2700 TRUMBULL AVENUE DETROIT MI 482161269 RICHARD BURKER EXECUTIVE DIRECTOR 3139642400 2016-02-11 1 LYNNE HUISMANN P00053811 2483757100 2014 2016-08-17 19:52:53Z RICHARD BURKER 2700 TRUMBULL AVENUE DETROIT MI 482161269 416865272 0 X WWW.MCTWF.ORG X 1949 MI TO PROVIDE MEDICAL, PRESCRIPTION DRUGS, DENTAL, VISION, BEHAVIORAL HEALTH, DISABILITY AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 8 8 102 0 0 0 0 0 208054849 231698281 8109894 11700133 11238 10005 216175981 243408419 0 0 192257553 186090395 8890143 9312782 0 0 0 11255406 11557887 212403102 206961064 3772879 36447355 345914993 389291103 5440867 4399673 340474126 384891430 X THE MICHIGAN CONFERENCE OF TEAMSTERS WELFARE FUND (MCTWF) SEEKS TO PROVIDE TO ITS PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS THE HIGHEST QUALITY OF ADMINISTRATIVE SERVICES AND A BROAD RANGE OF COST-EFFECTIVE HEALTH AND WELFARE BENEFIT PACKAGE CHOICES, UTILIZING ...CONTINUED CONTINUED FROM PAGE 2..PROVIDER NETWORKS THAT EMPLOY THE HIGHEST PROFESSIONAL STANDARDS AND THAT PROVIDE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS WITH THE GREATEST POSSIBLE ACCESS. MCTWF SEEKS, AS WELL, TO FULLY ACCOMMODATE THE RELATED EDUCATIONAL AND OPERATIONAL REQUIREMENTS OF TEAMSTER UNION REPRESENTATIVES AND EMPLOYERS WHO CONTRACT TO PROVIDE MCTWF COVERAGE. IN SUM, MCTWF SEEKS TO PROVIDE THE BEST GROUP HEALTH PLAN OPTION AMONG ALL AVAILABLE GROUP HEALTH PLANS AND INSURERS TO MEET THE HEALTH AND WELFARE BENEFIT NEEDS OF TEAMSTER MEMBERS AND THEIR FAMILIES. 0 0 TO PROVIDE MEDICAL, PRESCRIPTION DRUGS, DENTAL, VISION, BEHAVIORAL HEALTH, DISABILITY AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 262 0 102 1 0 1 CJ VI 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RICHARD BURKEREXECUTIVE DIRECTOR 3139642400 2700 TRUMBULL AVENUE DETROIT MI 48216 ROBERT F RAYES TRUSTEE - TERM ENDING 3/31/14 1.00 0.00 X 4950 0 6877 HR HILLARD TRUSTEE 3.00 0.00 X 19200 0 21585 RAYMOND J BURATTO TRUSTEE 4.00 0.00 X 20700 0 21585 EARL D ISHBIA TRUSTEE 2.00 0.00 X 0 0 0 ROBERT W JONES TRUSTEE 2.00 0.00 X 0 0 0 JOSE ROSARIO TRUSTEE 2.00 0.00 X 0 0 0 RONALD HOLZGEN TRUSTEE 4.00 0.00 X 0 0 0 PAUL KOZICKI TRUSTEE 2.00 0.00 X 0 0 0 KEVIN MOORE TRUSTEE 2.00 0.00 X 0 0 0 RICHARD BURKER EXECUTIVE DIRECTOR 55.00 0.00 X 264446 0 49786 KYLE STALLMAN DIRECTOR OF FINANCIAL SERV 45.00 0.00 X 143370 0 45400 JOSEPH A MEIROW SYSTEMS ARCHITECT PROJECT 45.00 0.00 X 135683 0 45125 SYED R AHMED DATABASE ADMINISTRATOR 40.00 0.00 X 112252 0 42738 SANDRA A BOWMAN-CLAUS SR. DIRECTOR OF POLICY 55.00 0.00 X 110598 0 39614 ELAINA FERGUSON SR. DIRECTOR OF BENEFIT ADMINISTRATION 40.00 0.00 X 123098 0 28352 934297 0 301062 8 0 1 0 BLUE CROSS BLUE SHIELD OF MICHIGAN 600 LAFAYETTE EAST DETROIT MI 482262998 MEDICAL CLAIMS PROCESSING 6050758 DELTA DENTAL PLAN OF MICHIGAN INC 124 W ALLEGAN STREET LANSING MI 48933 DENTAL CLAIMS PROCESSING 621832 ENTRUST CAPITAL 375 PARK AVENUE 24TH FLOOR NEW YORK NY 10152 INVESTMENT MANAGER 498791 TOWERS WATSON DELAWARE INC 71 SOUTH WACKER DRIVE SUITE 2600 CHICAGO IL 606064637 ACTUARIAL SERVICES 331771 MORGAN STANLEY 40701 WOODWARD AVE SUITE 200 BLOOMFILED HILLS MI 48304 INVESTMENT CUSTODIAN 259693 15 EMPLOYER CONTRIBUTIONS 900099 225363307 225363307 EMPLOYEE CONTRIBUTIONS 900099 6334974 6334974 231698281 9602738 9602738 9643 0 9643 9643 9643 175554248 173456853 2097395 2097395 2097395 MISC INCOME 900099 362 362 362 243408419 231698281 0 11710138 186090395 403164 5208890 1357248 1872966 470514 272701 72652 1536262 7508321 463576 447413 403281 61419 5325 329859 300875 REPAIRS AND MAINTENANCE 97811 RECRUITMENT EXPENSE 29061 EMPLOYEE RELATIONS 25698 DUES AND SUBSCRIPTIONS 3633 206961064 6042335 13694959 3878763 4835826 12086533 15751814 5602886 6082813 7962673 5984223 2081711 1978450 187346269 188373493 128526669 158096193 349827 477555 345914993 389291103 2045320 1381585 3395547 3018088 5440867 4399673 X 340474126 384891430 340474126 384891430 345914993 389291103 36447355 7969949 0 X X 0 1 X 1 0 440593 440593 3837647 2690562 1147085 1922659 1569950 352709 1761774 1723711 38063 1978450 MUTUAL FUNDS 120667142 F INVESTMENTS IN PARTNERSHIPS 31530992 F COMMINGLED FUNDS 5898059 F 158096193 CONTRIBUTIONS PAID IN ADVANCE 3018088 3018088 X 249842106 7969949 7969949 241872157 1536262 1536262 243408419 205424802 0 205424802 1536262 1536262 206961064 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE, AND THE PLAN SPONSOR BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. IN ACCORDANCE WITH GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED THE PLAN'S AND TRUST'S TAX POSITIONS AND DOES NOT BELIEVE THE PLAN AND TRUST HAVE ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE FINANCIAL STATEMENTS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR FISCAL YEARS PRIOR TO MARCH 31, 2011. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT IN FOREIGN HEDGE FUND 31530992 0 0 0 0 0 0 31530992 0 31530992 1 0 1 0 0 0 X X X 0 0 0 RICHARD BURKER EXECUTIVE DIRECTOR 264446 0 0 0 0 0 22169 0 27617 0 314232 0 0 0 KYLE STALLMAN DIRECTOR OF FINANCIAL SERV 143370 0 0 0 0 0 18537 0 26863 0 188770 0 0 0 JOSEPH A MEIROW SYSTEMS ARCHITECT PROJECT 135683 0 0 0 0 0 18306 0 26819 0 180808 0 0 0 SYED R AHMED DATABASE ADMINISTRATOR 112252 0 0 0 0 0 17604 0 25134 0 154990 0 0 0 SANDRA A BOWMAN-CLAUS SR. DIRECTOR OF POLICY 110598 0 0 0 0 0 17554 0 22060 0 150212 0 0 0 ELAINA FERGUSON SR. DIRECTOR OF BENEFIT ADMINISTRATI 123098 0 0 0 0 0 14053 0 14299 0 151450 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE DIRECTOR OF FINANCIAL SERVICES AND THE EXECUTIVE DIRECTOR REVIEW THE FORM 990 PREPARED BY THE INDEPENDENT AUDITORS. THE FORM 990 IS THEN REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL DISCLOSURE QUESTIONNAIRE IS DISTRIBUTED TO THE BOARD OF TRUSTEES, MCTWF EMPLOYEES, FUND PROFESSIONALS AND VENDORS TO IDENTIFY CIRCUMSTANCES, RELATIONSHIPS AND TRANSACTIONS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST. THE QUESTIONNAIRES ARE REVIEWED BY THE HUMAN RESOURCES DIRECTOR, EXECUTIVE DIRECTOR AND LEGAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT COMPENSATION CONSULTANT WAS USED IN ESTABLISHING THE EXECUTIVE DIRECTOR'S COMPENSATION. THERE IS A WRITTEN EMPLOYMENT CONTRACT THAT IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTESS. AN ANNUAL MERIT POOL IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES FOR OTHER SALARIED EMPLOYEES BASED ON A RECOMMENDATION BY THE EXECUTIVE DIRECTOR THAT IS APPROVED BY THE BOARD OF TRUSTEES. INDIVIDUAL MERIT INCREASES BASED ON PERFORMANCE APPRAISALS AND MARKET ADJUSTMENTS ARE DETERMINED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST AGREEMENT IS AVAILABLE ON MCTWF'S WEBSITE. THE AUDITED ANNUAL FINANCIAL STATEMENTS AS PART OF THE FORM 5500 IS AVAILABLE UPON REQUEST AND ELECTRONICALLY AVAILABLE ON THE UNITED STATES DEPARTMENT OF LABOR WEBSITE. FORM 990, PART XII, LINE 2C THE AUDITOR IS RETAINED BY THE BOARD OF TRUSTEES AND, IN ACCORDANCE WITH THE TERMS OF THAT RETENTION, THE AUDITOR IS ACCOUNTABLE TO AND FULLY REPORTS ITS AUDIT FINDINGS TO THE BOARD OF TRUSTEES. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. AIRPORT COMMUNITY SCHOOLS ALCONA COUNTY ROAD COMMISSION AMERICAN POSTAL WORKERS UNION ARENAC COUNTY ROAD COMMISSION BAY METROPOLITAN TRANSPORTATION AUTHROITY BENTON HARBOR ST JOSEPH WWTP BERRIEN MENTAL HEALTH AUTHORITY CHARTER TOWNSHIP OF PLYMOUTH CHERRY CAPITAL AIRPORT CITY OF BAD AXE CITY OF CLARE CITY OF ESCANABA CITY OF EVART CITY OF GLADSTONE CITY OF HANCOCK CITY OF MANISTIQUE ADMINISTRATION CITY OF MARIETTA CITY OF MENOMINEE CITY OF ONAWAY CITY OF ROMULUS CITY OF STANDISH CITY OF THREE RIVERS CITY OF WOODBINE CLERICAL - TECHNICAL UNION OF MICHIGAN STATE UNIVERSITY CRAWFORD COUNTY ROAD COMMISSION ( B U) DELTA AREA TRANSIT AUTHORITY ( D A T A ) DELTA COUNTY ADMINISTRATION DELTA COUNTY ROAD COMMISSION DELTA COUNTY SHERIFF - CORRECTIONS DIVISION DETROIT POLICE BENEFIT & PROTECTIVE ASSOCIATION DETROIT REGIONAL CONVENTION FACILITY AUTHORITY DETROIT TEAMSTERS TEMPLE ASSOCIATION FOREST LAKE COUNTRY CLUB - FOREST LAKE COUNTY CLUB FRANKLIN TOWNSHIP ( BARGAINING UNIT ) GLADSTONE AREA SCHOOLS GWINN AREA COMMUNITY SCHOOLS HOLT PUBLIC SCHOOLS HOUGHTON COUNTY ROAD COMMISSION HURON COUNTY ROAD COMMISSION IRON COUNTY ROAD COMMISSION LAWRENCE COUNTY SHERIFF'S OFFICE M B S INTERNATIONAL AIRPORT MANISTEE COUNTY ROAD COMMISSION MARQUETTE COUNTY MEDICAL CARE FACILITY MASON COUNTY ROAD COMMISSION MENOMINEE COUNTY - COURTHOUSE DIVISION MENOMINEE COUNTY ROAD COMMISSION MICHIGAN TEAMSTERS JOINT COUNCIL NO 43 2741 TRUMBULL AVENUE DETROIT MI 48211 LABOR COUNCIL MI 501(C)(5) 0 MONROE PUBLIC SCHOOLS MOTOR CITY ELECTRIC COMPANY OGEMAW COUNTY ORION TOWNSHIP ( BARGAINING UNIT ) REGION 2 AREA AGENCY ON AGING ROSCOMMON COUNTY ROAD COMMISSION SAUNDERS COUNTY NEBRASKA - B U HIGHWAY & COURTHOUSE SCHOOL CITY OF EAST CHICAGO SCHOOLCRAFT COUNTY ROAD COMMISSION SCIOTO COUNTY SANITARY ENGINEERING DEPARTMENT SOUTHWEST LICKING LOCAL SCHOOL DISTRICT ( N B U ) SPRINGFIELD METROPOLITAN HOUSING AUTHORITY ST JOHN PROVIDENCE HEALTH SYSTEM BRIGHTON TEAMSTERS CREDIT UNION TEAMSTERS LOCAL UNION #1038 TEAMSTERS LOCAL UNION #214 TEAMSTERS LOCAL UNION #243 TEAMSTERS LOCAL UNION #247 TEAMSTERS LOCAL UNION #283 TEAMSTERS LOCAL UNION #284 TEAMSTERS LOCAL UNION #299 TEAMSTERS LOCAL UNION #337 TEAMSTERS LOCAL UNION #372 TEAMSTERS LOCAL UNION #406 TEAMSTERS LOCAL UNION #51 TEAMSTERS LOCAL UNION #614 TEAMSTERS LOCAL UNION #7 VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY VILLAGE OF BARAGA ( BARGAINING UNIT) VILLAGE OF FOWLERVILLE VILLAGE OF STOCKBRIDGE WAVERLY COMMUNITY SCHOOLS WEBBERVILLE SCHOOLS C O INGHAM I S D WELLS TOWNSHIP WEST IRON COUNTY SEWER AUTHORITY ADVANCED DISPOSAL SERVICES SOLID WASTE MIDWEST LLC ADVANTAGE TRUCKING LLC AIRGAS USA LLC BAYVIEW ELECTRIC CO LLC BLIND MAN PRODUCTIONS LLC BOONES EXPRESS LLC CITRUS SYSTEM MADISON DBA ALL JUICE MIDWEST CRANETOWN MEDIA LLC EQUIPMENT TRANSFER L L C F P T PONTIAC FACTORY STEEL & METAL SUPPLY FALCON CEMENT G & A SAND AND SUPPLIES L L C DIV OF WILLBEE TRANSIT HEARTLAND STEEL PRODUCTS DBA EUGENE WELDING CO INDIANHEAD PIPELINE SERVICES LLC ISC SOLUTIONS LINDE GAS NORTH AMERICA L L C MARATHON PETROLEUM COMPANY MIDWEST MEMORIAL GROUP L L C ( WOODMERE CEMETERY) NORTHVILLE DOWNS PRAIRIE LAKESID LLC DBA SUPERIOR MATERIALS NOVI PRECISION PIPELINE LLC PROPANE SERVICE PROS SERVICES ( BARGAINING UNIT ) R C S TRANSPORTATION L L C R A M PRODUCE DISTRIBUTORS S V T L L C ( STRACK AND VANTILL) SAFWAY SERVICES L L C DETROIT SENTINEL TRANSPORTATION L L C SHERWOOD FOOD DISTRIBUTORS SMITH DISTRIBUTING COMPANY SUPERIOR MATERIALS ( KURTZ GRAVEL ) SUPERIOR MATERIALS L L C THE ROYAL WE PRODUCTIONS LLC THYSSEN KRUPP STEEL DISTRIBUTION L L C TOEBE CONSTRUCTION L L C TRADITIONAL LOGISTICS & CARTAGE L L C TRILOGY HEALTHCARE OF JACKSON L L C AKA RIDGECREST HEALTH WIDE ARK SHOW-EXPO LABOR PROS LLC WILLBEE CONCRETE VAULTS L L C A & C CARRIERS INC (NILES) APAC PAPER & PACKAGING CORPORATION A LINDBERG & SONS INC ADAMO DEMOLITION COMPANY AFFILIATED FOODS MIDWEST COOPERATIVE INC AGGREGATE INDUSTRIES - 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PIPELINE COPPER COUNTRY FORD CRANDELL BROTHERS TRUCKING CROWN CITY PICTURES INC ( SUPERMAN SAGE & MILO ) D H L WORLDWIDE EXPRESS INC D M S MOVING SYSTEMS D R D C DAIRY FARMERS OF AMERICA DAN'S EXCAVATING INC DARLING INTERNATIONAL INC DAYS CORPORATION - DAYS CORPORATION DE MARIA BUILDING COMPANY INC DELTA SANITATION INC DELTA TEMP INC DETROIT PRODUCE TERMINAL INC DETROIT SOUTH ( DIVISION OF WASTE MANAGEMENT ) DILLMAN & UPTON DOAN CONSTRUCTION CO INC DOBSON INDUSTRIAL INC DOMINIC GAGLIO CONSTRUCTION INC DR PEPPER SNAPPLE GROUP DUNIGAN BROTHERS INC DWORKIN INC EARLE M JORGENSEN COMPANY EARTHGRAINS BAKING COMPANIES INC EATON RAPIDS MEDICAL CENTER EDGE INDUSTRIES L L C EISENHARDT R G EXCAVATING ELITE PARKING ERICKSON TRUCKING SERVICE INC EUREST DINING SERVICES ( COMPASS GROUP ) EVAN'S ADHESIVE CORPORATION L T D EVERFRESH JUICE COMPANY FARMER & UNDERWOOD TRUCKING L T D FARMER BROTHERS COFFEE FAYGO BEVERAGE COMPANY FENDT BUILDERS SUPPLY COMPANY FERGUSON BLOCK CO ( BARGAINING UNIT ) FERGUSON ENTERPRISES INC FERROUS PROCESSING & TRADING FIBER - 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NIMERGOOD COMPANY MCCAUSEY SPECIALTY PRODUCTS MERCHANTS FORWARDING COMPANY MERVENNE BEVERAGE CO MESSINA CONCRETE INC MESSINA TRUCKING COMPANY METRO INDUSTRIAL CONTRACTING INC METRO TRANSPORT INC METROPOLITAN BAKING COMPANY METROPOLITAN DETROIT AREA HOSPITAL SERVICES INC MICHIGAN CHANDELIER COMPANY MICHIGAN LUMBER COMPANY MID- AMERICAN CONSTRUCTION SERVICES MIDWEST STEEL COMPANY MIDWEST TERMINALS OF TOLEDO INTERNATIONAL INC MILBOCKER & SONS MILFORD REDI - MIX MILLER TRUCK & STORAGE MINNESOTA LIMITED MODEL COVERALL SERVICE INC MONARCH WELDING & ENGINEERING MONDELEZ INTERNATIONAL FKA KRAFT FOODS GLOBAL MOTOR CITY CENTRAL PARKING MR UNIFORM & MAT RENTAL N W S MICHIGAN INC N P S - DAY & ZIMMERMAN NAGLE PAVING COMPANY NATIONAL BLOCK COMPANY NATIONAL GARAGES ( A T & T) NATIONAL READY MIX NATIONAL WINE & SPIRITS OF MICHIGAN NATURAL AGGREGATES CORP NORTH AMERICAN DISMANTLING ( B U ) NORTHERN CLEARING INC NYLONCRAFT INC O' SULLIVAN JOHN DIST INC OROGRAIN SALES COMPANY INC OSBORNE CONCRETE COMPANY OVERHEAD CONVEYOR COMPANY P G W AUTO GLASS L L C PARAGON READY MIX INC PARAMOUNT CONVENTION SERVICES INC PARAMOUNT PICTURES CORP PEARCE BOILER & ENGINEERING PEARSON EQUIPMENT & SERVICES CORPORATION PEPSI BEVERAGES COMPANY PEPSI BEVERAGES COMPANY PEPSI COLA BOTTLING CO OF HAMILTON PERFECTION ASSOCIATES L L C PINE TREE ACRES A SUBSIDIARY OF WASTE MANAGEMENT OF MICHIGAN PIONEER RESOURCES INC PIPER TRUCKING INC PLUMBERS WHOLESALE SUPPLY COMPANY PNEUMATIC TRUCKING INC PORT CITY REDI MIX PORT HURON BUILDING SUPPLY COMPANY POWER PROCESS PIPING INC PRAIRIE FARMS DAIRY INC PRAXAIR DISTRIBUTION PROGRESSIVE DISTRIBUTION CENTERS INC PYRAMID PAVING & CONTRACTING QUALA WASH HOLDINGS L L C QUICKWAY SERVICES INC R & R READY MIX R P F OIL R S ELECTRONICS INC-CO WESCO DIST INC R T I TRANSPORT RADIO DISTRIBUTING RED D MIX INVESTMENT RIECKHOFF C L RIETH - 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