2015-02-16T16:37:17-06:00 2014-04-30 382284921 BENDA GRACE STULZ & COMPANY PC 38800 VAN DYKE AVE STE 100 STERLING HEIGHTS MI 48312 990 2013-05-01 356073323 MICHIANA ELECTRICAL WORKERS HEALTH & WELFARE FUND MICH 5173217502 6525 CENTURION DRIVE LANSING MI 489179275 ROGER DOSMANN STANLEY MILES CHAIRMAN / SECRETARY 5173217502 2014-08-26 BRYAN STULZ P00265596 5868836240 2015-02-16 2013 2016-03-07 17:11:31Z SAME AS ABOVE 19794336 false X WWW.IBEW153BENEFITS.ORG X 1961 MI PROVIDE HEALTH AND WELFARE BENEFITS 6 1 0 0 0 10632747 10948896 3470 34007 190355 100498 10826572 11083401 0 10819157 8236839 0 0 0 126602 224210 10945759 8461049 -119187 2622352 6206590 7518988 5270885 3981986 935705 3537002 PROVIDE HEALTH AND WELFARE BENEFITS false false TO PROVIDE HOSPITALIZATION, MEDICAL AND OTHER RELATED HEALTH CARE BENEFITS TO ELIGIBLE PLAN PARTICIPANTS. 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 5 0 0 false false false false false false X 6 1 true false false false false true false true true false false false false false false false false false X TIC INTERNATIONAL 5173217502 6525 CENTURION DR LANSING MI 48917 X STANLEY MILES SECRETARY 1.00 40.00 X 0 71296 25467 ROGER DOSMANN CHAIRMAN 1.00 40.00 X 0 0 0 MIKE LEDA TRUSTEE 1.00 40.00 X 0 0 0 BRIAN SULLIVAN TRUSTEE 1.00 0.00 X 0 0 0 CHRISTOPHER GROVE TRUSTEE 1.00 40.00 X 0 0 0 GARY ROBERTS TRUSTEE 1.00 40.00 X 0 0 0 THOMAS E CIOCH TRUSTEE 1.00 40.00 X 0 0 0 71296 25467 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 27000 W ELEVEN MILE B561 SOUTHFIELD MI 48034 HEALTH ADMIN. 368929 ANTHEM 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 HEALTH ADMIN. 172711 BENESYS INC 700 TOWER DRIVE 300 TROY MI 48098 CLAIMS PROCESS 117111 TIC INTERNATIONAL 6525 CENTURION DRIVE LANSING MI 48917 PLAN ADMIN. 107927 4 EMPLOYER CONTRIBUTIONS 230000 9975489 9975489 EMPLOYEE CONTRIBUTIONS 230000 973407 973407 10948896 58754 234 58520 8686188 8710935 -24747 -24747 -24747 MEDICARE PART D SUBSIDY 900099 94977 94977 LIQUIDATED DAMAGES 900099 5521 5521 100498 11083401 11024881 58520 8236839 10888 23346 14626 102236 16183 7685 26863 12717 MEMBER COMMUNICATIONS 6908 SUMMARY ANNUAL REPORT 2758 8461049 0 0 0 796351 1769540 713059 1278206 940598 131664 107801 3027180 4961179 6206590 7518988 193779 137358 5077106 3844628 5270885 3981986 X 935705 3537002 935705 3537002 6206590 7518988 2622352 -21055 X false true X true false ACCUMULATED ELIGIBILITY CREDITS 2623000 CLAIMS INCURRED BUT NOT REPORTED 995000 UNSETTLED INVESTMENT TRANSACTIONS 183328 PRESCIPTION BENEFITS PAYABLE 43300 3844628 11047720 -21055 -21055 11068775 14626 14626 11083401 8446423 8446423 14626 14626 8461049 FORM 990, PART VI LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A "BUSINESS RELATIONSHIP". THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HARTLEY FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AND EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES, BECASUE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES. LINE 12 - ANNUALLY, EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. LINE 15 - THE FUND DID NOT HAVE A CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, OR OTHER OFFICER OR KEY EMPLOYEES, AS THOSE TERMS ARE DEFINED. FORM 990, PAGE 6, PART VI, LINE 7A ALL BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP INTO OFFICER POSITIONS, FROM WHICH THEY HOLD THEIR TRUSTEESHIP. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO APPROVAL BY AND REVIEW OF THE FUND'S LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED A COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 19 THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. THE FUND DOES NOT HAVE A CONFLICTS OF INTEREST POLICY. FORM 990, PART VII LINE 1A - STANLEY MILES SERVED AS A TRUSTEE OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, HE WAS COMPENSATED AS AN EMPLOYEE OF IBEW LOCAL 153, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND, AND AS SUCH, A "RELATED ORGANIZATION" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. IBEW LOCAL 153 56475 PEPPERMINT ROAD SOUTH BEND IN 46619 350415630 LOCAL IN 501C5 N/A false SOUTH BEND & VICINITY ELEC JATC 56365 PEPPERMINT ROAD SOUTH BEND IN 46619 356059198 APPRENTICE IN 501C3 2 N/A false MICHIANA ELEC MONEY PURCHASE PLAN 6525 CENTURION DRIVE LANSING MI 48917 351861971 ANNUITY MI 401A N/A false MICHIANA ELEC WRKS PENSION FUND 6525 CENTURION DRIVE LANSING MI 48917 356269273 PENSION MI 401B N/A false ALLIED ELECTRICAL SERVICES INC N/A false AMPLE ELECTRIC N/A false BRITE ELECTRIC N/A false C & K ELECTRIC INC N/A false CIRCLE R ELECTRIC INC N/A false COLIP ELECTRIC CORP N/A false COMMUNICATION CO OF S BEND N/A false COMPLETE ELECTRICAL & COMM N/A false CONVERGED COMMUNICATION PTR N/A false CRAIG ELECTRIC INC N/A false DAY & ZIMMERMAN N/A false DAYS CORPORATION N/A false ELECTRIC PLUS INC N/A false ELECTRICAL MAINT & CONST LLC N/A false ELECTRICORPE INC N/A false ELITE ELECTRICAL LLC N/A false ENYART ELECTRIC MOTOR REPAIR N/A false ESSEXVILLE ELECTRIC INC N/A false GARMAN ELECTRIC N/A false H & G SERVICE N/A false HARTMAN ELECTRIC INC N/A false HIGHER CALLING AUTOMATION LLC N/A false HUSTON ELECTRIC INC N/A false IBID COUNTY ELECTRIC N/A false INDUSTRIAL CONTRACTORS INC N/A false INDUSTRIAL INST INC N/A false J & J ELECTRIC OF INDIANA INC N/A false JETTLINE ELECTRIC INC N/A false JMB TECNHOLOGY N/A false KETELHUT ELECTRIC N/A false KOONTZ-WAGNER ELECTRIC CONST N/A false KW CONSTRUCTION SERVICES DBA N/A false LINEAR ELECTRIC INC N/A false MALKO TECH SERVICES N/A false MARON ELECTRIC COMPANY N/A false MARTEE ELECTRIC N/A false MCMANN ELECTRIC INC N/A false MEAD & WHITECOLIP ELECTRIC N/A false MOLTER ELECTRIC N/A false MUSKA ELECTRIC COMPANY N/A false NETWORK CABLING SOLUTIONS N/A false NEW AGE TELEC N/A false NEWKIRK ELECTRIC ASSOC INC N/A false NORTEC TELECOMMUNICATIONS INC N/A false PEMBERTON DAVIS ELECTRIC CO N/A false PRECISION CONTROL SYSTEMS N/A false R & D ELECTRIC CO N/A false RANCK J ELECTRIC N/A false RIVERBED ELECTRIC INC N/A false SARGENT ELECTRIC COMPANY N/A false SCHENK LIGHTNING ROD CO N/A false SCHWARTZ ELECTRIC INC N/A false SERVICE ELECTRIC OF ALLEN CO N/A false SERVICE ONE PROFESSIONAL GP N/A false SHAMBAUGH & SON LP N/A false SHAUM ELECTRIC CO INC N/A false SOUTH BEND ELECTRIC INC N/A false STATE GROUP INDUSTRIAL THE N/A false SWAN ELECTRIC COMPANY INC N/A false TGB UNLIMITED INC N/A false TOP LINE ELECTRICAL SERVICE N/A false TRI CITY DATA & ELECTRONIC N/A false UNITED CONSTRUCTION CO INC N/A false VANDERHEYDEN TECHNOLOGIES INC N/A false WELLS ELECTRIC INC N/A false false false false false false false false false false false false false false false false false false false false