FURP.ORG / PUBLIC DATA EXPLORER

UNITED FOOD & COMMERCIAL WORKERS UNION-EMPLOYER HLTH & WELFARE FUND: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UNITED FOOD & COMMERCIAL WORKERS UNION-EMPLOYER HLTH & WELFARE FUND (EIN 34-6726563)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-07-14
IRS object ID
201531959349300533
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-07-14T11:30:55-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383349378PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CUNNINGHAM & ASSOCIATESBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 EAGLE VALLEY CTAddressLine1
CityBROADVIEW HEIGHTSCity
StateOHState
ZIP Code441472982ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN346726563EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED FOOD & COMMERCIAL WORKERSBusinessNameLine1
Business Name Line2UNION HEALTH & WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone2162412828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19199 MARKET PLACE SUITE 1AddressLine1
Address Line2ROOM/SUITE 1AddressLine2
CityBROADVIEW HEIGHTSCity
StateOHState
ZIP Code44147ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARL IVKAPersonNm
Person TitleUNION TRUSTEEPersonTitleTxt
Phone2162412828PhoneNum
Signature2015-07-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJIM DAVISPreparerPersonNm
PTINP01353798PTIN
Phone4407171350PhoneNum
Preparation2015-07-14PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCARL IVKAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19199 MARKET PLACE SUITE 1AddressLine1
CityBROADVIEW HEIGHTSCity
StateOHState
ZIP Code44147ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$137,937,664GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1952FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTSActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee39TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$105,042,687PYProgramServiceRevenueAmt
CY Program Service Revenue$109,824,012CYProgramServiceRevenueAmt
PY Investment Income$6,410,425PYInvestmentIncomeAmt
CY Investment Income$2,010,688CYInvestmentIncomeAmt
PY Other Revenue$1,986,955PYOtherRevenueAmt
CY Other Revenue$1,824,632CYOtherRevenueAmt
PY Total Revenue$113,440,067PYTotalRevenueAmt
CY Total Revenue$113,659,332CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$103,750,639PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$111,702,353CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,222,800PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,938,715CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,104,557PYOtherExpensesAmt
CY Other Expenses$2,110,987CYOtherExpensesAmt
PY Total Expenses$108,077,996PYTotalExpensesAmt
CY Total Expenses$115,752,055CYTotalExpensesAmt
PY Revenues Less Expenses$5,362,071PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,092,723CYRevenuesLessExpensesAmt
Total Assets BOY$55,211,633TotalAssetsBOYAmt
Total Assets EOY$62,184,248TotalAssetsEOYAmt
Total Liabilities BOY$17,409,580TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,900,594TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$37,802,053NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,283,654NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescMEDICAL, DENTAL AND DISABILITY BENEFITS- THE FUND IN CONJUCTION WITH DEARBORN NATIONAL COMPANY,KAISER COMMUNITY HEALTH FOUNDATION AND MEDICAL MUTUAL OF OHIO PROVIDES VARIOUS HOSPITAL, SURGICAL, MEDICAL, ACCIDENT AND SICKNESS, WEEKLY INDEMNITY, AND LIFE INSURANCE BENEFITS TO APPROXIMATELY 27,500 MEMBERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescPAID PRESCRIPTION PROGRAM- THE FUND HAS CONTRACTED WITH CAREMARK TO PROVIDE A PROGRAM FOR PRESCRIPTION DRUGS. THE PROGRAM REQUIRES MEMBERS TO PAY 20- 30% TOWARDS EACH PRESCRIPTION. ALSO SOME MEMBERS RECEIVE REIMBURSEMENTS THROUGH MAJOR MEDICAL. APPROXIMATELY 26,500 MEMBERS ARE COVERED UNDER THIS PLAN.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescEYE CARE PROGRAM. THE FUND PROVIDES VISION BENEFITS THROUGH DIRECT REIMBURSEMENT OR WITH VARIOUS PROVIDERS. THE PROGRAM PROVIDES A FULLY PAID EYE CARE PROGRAM TO APPROXIMATELY 22,000 MEMBERS. THIS PROGRAM PROVIDES A FRRE EYE EXAMINATION AND A PAIR OF GLASSES EVERY 24 MONTHS FOR ADULTS AND EVERY 12 MONTHS FOR CHILDREN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescTO PROVIDE AFFORDABLE HEALTH CARE TO ITS MEMBERSDesc
FieldValueIRS element (for citing)
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee39EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARILYN LONCOYPersonNm
Phone2162412828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19199 MARKET PLACE SUITE 1AddressLine1
CityBROADVIEW HTSCity
StateOHState
ZIP Code44147ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEAN M COLARIK
EMPLOYER TRUYes (X)$0$0$0
BARB CARUSO
UNION TRUSTEYes (X)$0$0$0
MIKE MARTINO
UNION TRUSTEYes (X)$0$0$0
DAVID HICKS
EMPLOYER TRUYes (X)$0$0$0
THOMAS HEINEN
EMPLOYER TRUYes (X)$0$0$0
RAY HUBER
EMPLOYER TRUYes (X)$0$0$0
JILL ADAM
UNION TRUSTEYes (X)$0$0$0
CARL IVKA
UNION TRUSTEYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
MERRILL LYNCH
45 E WASHINGTON STCHAGRIN FALLSOH44022INVESTMENT$227,577
LITTLER MENDELSON
1100 SUPERIOR AVECLEVELANDOH44114LEGAL FEES$187,782
CUNNINGHAM & ASSOCIATES
60 EAGLE VALLEY COURTBROADVIEW HTSOH44147ACCOUNTING FEES$154,102
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525100$101,875,859$101,875,859
EMPLOYEE CONTRIBUTIONS525100$6,025,412$6,025,412
MEDICARE SUBSIDY525100$1,922,741$1,922,741
FieldValueIRS element (for citing)
Total Program Service Revenue$109,824,012TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,375,819TotalRevenueColumnAmt
Related Or Exempt Func Income$1,375,819RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$24,913,201SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$24,278,332SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$634,869SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$634,869TotalRevenueColumnAmt
Related Or Exempt Func Income$634,869RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescFORMULARY REBATESDesc
Total Revenue Column$1,824,632TotalRevenueColumnAmt
Related Or Exempt Func Income$1,824,632RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,824,632OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$113,659,332TotalRevenueColumnAmt
Related Or Exempt Func Income$113,659,332RelatedOrExemptFuncIncomeAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$111,702,353TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,208,574TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$174,732TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$455,636TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$99,773TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$199,009TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$146,809TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$236,839TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,136TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$468,258TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$319,872TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$166,734TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,464TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,104TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$50,517TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
BANK CHARGES$105,320
TELEPHONE$65,376
HEALTHWISE HANDBOOKS$63,828
RETIREMENT PLAN ADMIN$53,994

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$107,727TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$115,752,055TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,311,819BOYAmt
EOY$9,294,150EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,984,983BOYAmt
EOY$2,408,292EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$36,514BOYAmt
EOY$57,581EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$747,291LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$501,198LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$266,852BOYAmt
EOY$246,093EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$45,186,465BOYAmt
EOY$49,753,132EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$425,000BOYAmt
EOY$425,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,211,633BOYAmt
EOY$62,184,248EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$154,268BOYAmt
EOY$143,915EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,255,312BOYAmt
EOY$23,756,679EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,409,580BOYAmt
EOY$23,900,594EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$37,802,053BOYAmt
EOY$38,283,654EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,802,053BOYAmt
EOY$38,283,654EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,211,633BOYAmt
EOY$62,184,248EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,092,723ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,574,324NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$747,291OtherCostOrOtherBasisAmt
Depreciation$501,198DepreciationAmt
Book Value$246,093BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$246,093TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATE LIABILITY FOR IBNR$20,671,000
INSURANCE PREM & CLAIMS PAYABLE$3,085,679
FieldValueIRS element (for citing)
Total Liability$23,756,679TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$113,659,332TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$113,659,332RevenueSubtotalAmt
Total Revenue Per Form990$113,659,332TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$115,752,055TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$115,752,055ExpensesSubtotalAmt
Total Expenses Per Form990$115,752,055TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DTO PROVIDE AFFORDABLE HEALTH CARE TO ITS MEMBERS
FORM 990, PAGE 6, PART VI, LINE 11BTHE RETURN IS PREPARED BY THE FUND'S INDEPENDENT CERIFIED PUBLIC ACCOUNTANT WHICH ALSO PERFORMS AN AUDIT OF THE FUND'S BOOKS AND RECORDS. THE RETURN IS THEN PROVIDED TO THE TRUSTEES FOR REVIEW AND SIGNATURE.
FORM 990, PAGE 6, PART VI, LINE 12CTHE FUND IS SUBJECT TO ERISA AND THE TRUSTEES CONFORM TO ITS REGULATIONS. SECTION 404 AND 406 CONTAIN STRICT FIDUCIARY RULES AND CONFLICTS OF INTEREST PROHIBITIONS. THE TRUSTEES MONITOR AND ENFORCE THE FUND'S COMPLIANCE WITH ERISA. OUTSIDE PROFESSIONALS ASSIST WITH THE COMPLIANCE.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND TAX RETURNS ARE AVAILABLE UPON REQUEST BY WRITING THE FUND'S ADMINISTRATOR AND REQUESTING A COPY.