2015-03-03T17:56:00-06:00 2014-06-30 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2013-07-01 956474516 SOUTHERN CALIFORNIA DRUG BENEFIT FUND % TRACY SHANNON SOUT 3236668910 2220 HYPERION AVE Suite LOS ANGELES CA 900274710 Stephanie Sciurba secretary 3236668910 2015-03-03 true MILLER KAPLAN ARASE LLP P00350864 3236668910 2013 2016-03-07 17:11:31Z ANDREA ZINDER 2220 HYPERION AVE LOS ANGELES CA 900274710 115883655 false X WWW.UFCWDRUGTRUST.ORG X 1974 CA SEE SCHEDULE O 10 10 16 0 0 0 0 108979848 115637557 198256 246098 0 0 109178104 115883655 0 0 95357603 96749996 2139373 2261270 0 0 0 3485388 3382284 100982364 102393550 8195740 13490105 40546992 53963898 32056651 31833757 8490341 22130141 X SEE SCHEDULE O false false SEE SCHEDULE O 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 false false false false false false false false false false false false true false false true X 7822 0 true 16 true false false false false false false X 10 10 false false false false false false false true true false false true false false true false false false X TRACY SHANNON 3236668910 2220 HYPERION AVE LOS ANGELES CA 900274710 X X DAVID GOODALL EMPLOYER TRUSTEE 1.0 X 0 0 0 MARYANNE MALZONE-MILLER EMPLOYER TRUSTEE 1.0 X 0 0 0 BRAD SAPP EMPLOYER TRUSTEE 1.0 X 0 0 0 STEPHANIE SCIURBA EMPLOYER TRUSTEE 1.0 X 0 0 0 MICHAEL SQUIRE EMPLOYER TRUSTEE 1.0 X 0 0 0 RICK BRUER UNION TRUSTEE 1.0 X 0 0 0 KATHY FINN UNION TRUSTEE 1.0 X 0 0 0 MICKEY KASPARIAN UNION TRUSTEE 1.0 X 0 0 0 CONNIE LEYVA UNION TRUSTEE 1.0 X 0 0 0 MICHAEL A STRAETER UNION TRUSTEE 1.0 X 0 0 0 ANDREA ZINDER UNION TRUSTEE 1.0 X 0 0 0 0 0 0 0 false false false ANTHEM BLUE CROSS 21555 OXNARD ST WOODLAND HILLS CA 913674943 MANAGED CARE FEES 777098 DELTA DENTAL OF CALIFORNIA 17871 PARK PLAZA DR STE 200 CERRITOS CA 907038597 DENTAL ADMINISTRATOR 327502 schwartz steinsapir dohrmann somm 6300 WILSHIRE BLVD LOS ANGELES CA 900485202 ATTORNEY 239387 OPTUM RX INC 9900 Bren Rd E MINNETONKA MN 553439664 PRESC. ADMINISTRATOR 220421 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 ACCOUNTANT 197013 7 0 EMPLOYER CONTRIBUTIONS 900099 110340551 110340551 EMPLOYEE SELF-PAYMENTS 900099 4169446 4169446 RETIREE SELF-PAYMENTS 900099 1127560 1127560 115637557 246098 246098 0 0 0 0 0 0 0 0 0 0 115883655 115637557 246098 0 0 0 96749996 0 0 1521745 72131 541013 126381 0 223806 195147 0 0 0 1789535 0 370459 0 0 118541 0 0 13493 0 0 0 81168 LOC. UN. INS. DEP. ADM. EXP. 512303 ALLOCATED DEPRECIATION EXP. 48129 PCORI FEES 23244 EMPLOYEES' EXPENSES 6459 102393550 -864864 4983645 15056560 11766304 0 0 8971710 9456625 0 0 0 0 0 0 0 0 16950 17003 0 17366636 27740321 0 0 0 0 0 0 0 0 40546992 53963898 441944 314466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31614707 31519291 32056651 31833757 X 0 0 0 0 8490341 22130141 8490341 22130141 40546992 53963898 13490105 149695 X false true X true false 0 BENEFIT OBLIGATIONS 31495703 ACCRUED INVESTMENT PURCHASES 23588 31519291 X 116033350 149695 149695 115883655 115883655 102393550 102393550 102393550 PART X, LINE 2: The Plan has adopted guidance on accounting for uncertainty in income taxes issued by the Financial Accounting Standards Board. Management believes that the Plan has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. As of June 30, 2014, information returns for years subsequent to the year ended June 30, 2010 (2009 for state returns) were subject to examinations by authorities. PART I, LINE 1 AND PART III, LINES 1 AND 4A - ORGANIZATION'S MISSION: THE SOUTHERN CALIFORNIA DRUG BENEFIT FUND IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING HOSPITAL - MEDICAL, CHEMICAL DEPENDENCY TREATMENT, DENTAL, ORTHODONTIC, PSYCHIATRIC, PRESCRIPTION, PREDICTIVE MEDICINE, DEATH, SUPPLEMENTAL UNEMPLOYMENT AND DISABILITY, INDUSTRY VACATION, VISION AND OTHER BENEFITS TO ACTIVE EMPLOYEES AND THEIR DEPENDENTS; AND HOSPITAL - MEDICAL, PRESCRIPTION AND DEATH BENEFITS TO RETIRED EMPLOYEES AND THEIR DEPENDENTS. PART I, LINE 5; PART V, LINES 2A AND 2B; PART IX, LINES 7-10: THE ORGANIZATION HAS NO STATUTORY EMPLOYEES, HOWEVER, FORMS W-2/W-3 WERE FILED FOR PLAN PARTICIPANTS WHOSE REGISTERED DOMESTIC PARTNERS RECEIVED BENEFITS FROM THE PLAN. THE SALARIES AND WAGES, PENSION PLAN CONTRIBUTIONS, OTHER EMPLOYEE BENEFITS AND PAYROLL TAX REPORTED IN PART IX WERE ALLOCATED TO THIS ORGANIZATION BY A RELATED ORGANIZATION, SEE SCHEDULE R. PART VI, LINE 11B: THE BOARD OF TRUSTEES REVIEWS THE FORM 990 AND UPON APPROVAL, DESIGNATES AND AUTHORIZES AN INDIVIDUAL TO SIGN THE RETURN. PART VI, LINE 12A: THE TRUST FUND IS AN EMPLOYEE BENEFIT TRUST SUBJECT TO THE FIDUCIARY AND PROHIBITED TRANSACTION RULES OF ERISA SECTIONS 404 AND 406, 29 U.S.C. SECTIONS 1104 AND 1106. PART VI, LINES 15A AND 15B: MEMBERS OF THE BOARD OF TRUSTEES RECEIVE NO COMPENSATION. THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES. PART VI, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. THE SUMMARY PLAN DESCRIPTION IS DISTRIBUTED TO ALL PARTICIPANTS. THE FINANCIAL STATEMENTS ARE DISTRIBUTED TO ALL TRUSTEES AND PROFESSIONAL ADVISORS AND UPON REQUEST TO OTHER INTERESTED PARTIES. THE SUMMUARY ANNUAL REPORT WITH ERISA - REQUIRED FINANCIAL INFORMATION IS PROVIDED TO ALL PARTICIPANTS ANNUALLY. PART VII, COLUMNS (E) AND (F): ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM RELATED TAX-EXEMPT ORGANIZATIONS IS AVAILABLE ON THOSE ORGANZATIONS' FORM 990. SC UFCW UNIONS AND DRUG EMP PENSION FD 2220 HYPERION AVE LOS ANGELES CA 90027 516029925 EE BENEFIT PL CA 501(A) N/A NA false SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false true true true false false false PART III AND PART IV, LINE 1: THE PLAN HAS FIFTY-SEVEN CONTRIBUTING EMPLOYERS WHOSE INFORMATION IS AVAILABLE AT THE ADMINISTRATIVE OFFICE.