2014-02-15T16:19:45-06:00 2013-06-30 060971924 BEERS HAMERMAN & CO PC 234 CHURCH STREET NEW HAVEN CT 06510 990 2012-07-01 060660430 CONNECTICUT PIPE TRADES HEALTH FUND C/O CT PIPE TRADES BENEFIT FUNDS ADMIN CONN 8008482129 1155 SILAS DEANE HIGHWAY WETHERSFIELD CT 061094318 SALVATORE DEFELICE 2037874311 2014-02-19 1 PETER GRAEB P00013424 2037876527 2014-02-19 2012 2015-11-30 17:44:51Z SALVATORE DEFELICE 801 STATE STREET NEW HAVEN CT 06507 32439852 0 X NONE X EMPLOYEE BENEFIT PLAN 1951 CT THE PURPOSE OF THE FUND IS TO PROVIDE HEALTH INSURANCE FOR ITS MEMBERS. 10 10 56 0 0 0 0 0 20522127 23333535 1481824 1537213 0 0 22003951 24870748 0 0 23445960 21424258 758591 778786 0 0 0 2054053 2020179 26258604 24223223 -4254653 647525 40040535 40281048 3582525 2970269 36458010 37310779 X EMPLOYERS CONTRIBUTE TO THE CT PIPE TRADES LOCAL NO. 777 HEALTH FUND SO THE FUND CAN PROVIDE FOR HOSPITALIZATION, LIFE INSURANCE, DISABILITY INSURANCE, SURGERY, DENTAL & OTHER MEDICAL EXPENSES FOR THE PARTICIPATING EMPLOYEES OF THE CONTRIBUTING EMPLOYERS. 0 0 15843656 23333535 MEDICAL, DENTAL & VISION CLAIMS 5902412 PRESCRIPTION DRUG CLAIMS 240190 DISABILITY CLAIMS 21986258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 943 0 56 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X CT PIPE TRADES BENEFIT FUNDS ADMIN 8008482129 1155 SILAS DEANE HIGHWAY WETHERSFIELD CT 06109 X SALVATORE DEFELICE 1.00 X 0 0 0 JOHN FERRUCCI 1.00 X 0 0 0 JAMES LESLIE 1.00 X 0 0 0 JOHN A BARASSO 1.00 X 0 0 0 HUBERT BARNES 10.00 X 0 0 0 GLENN CHESTER 10.00 X 0 0 0 JOHN HIGGINS 10.00 X 0 0 0 JOSEPH GUGLIELMO 1.00 X 0 0 0 MICHAEL ROSARIO 10.00 X 0 0 0 RICHARD KELLY 1.00 X 0 0 0 0 0 0 0 0 0 0 CT PIPE TRADES BENEFIT FUNDS ADMINISTRAT 1155 SILAS DEANE HIGHWAY WETHERSFIELD CT 06109 THIRD PARTY ADMINISTRATION 784184 ANTHEMWELLPOINT 370 BASSETT ROAD NORTH HAVEN CT 06473 CLAIMS ADMINISTRATION 601953 SEGAL COMPANY 30 WATERSIDE DRIVE SUITE 300 FARMINGTON CT 06032 CONSULTANT 101046 3 MEMBERSHIP CONTRIBUTIONS 525100 22247828 22247828 MEDICARE PRESCRIPTION REIMBURSEME 525100 1085707 1085707 23333535 999985 999985 8106332 7569104 537228 537228 537228 24870748 23333535 0 1537213 21424258 723934 54852 784184 87377 56539 111104 111750 38630 22462 34530 MANAGED CARE FEES 712205 DUES 61398 24223223 47944 879386 2479527 3110259 11510 30635 37269014 35995118 232540 265650 40040535 40281048 3582525 2970269 3582525 2970269 X 0 0 0 0 36458010 37310779 36458010 37310779 40040535 40281048 647525 205244 0 X 0 1 X 1 0 0 X 24964888 205244 205244 24759644 111104 111104 24870748 24674119 562000 562000 24112119 111104 111104 24223223 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HEALTH FUND IS CURRENTLY OPEN TO AUDIT UNDER THE STATUTE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES FOR THE YEARS ENDED JUNE 30, 2010 THROUGH 2012. PART XII, LINE 2D - OTHER ADJUSTMENTS: DECREASE IN INCURRED BUT NOT REPORTED CLAIMS FORM 990, PART VI, SECTION A, LINE 6 ACTIVE & RETIRED MEMBERS OF CT PIPE TRADES LOCAL NO. 777 WHO PARTICIPATE IN THE HEALTH FUND THROUGH REQUIRED HOURS OR MONTHLY PAYMENTS FOR COVERAGE. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF CT PIPE TRADES LOCAL NO. 777 ELECT CERTAIN LABOR TRUSTEES ONCE EVERY 3 YEARS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PRESENTED TO THE BOARD OF TRUSTEES BEFORE IT IS FILED. AT THIS TIME, THE BOARD OF TRUSTEES DISCUSSES THE TAX RETURN WITH THE TAX PREPARER. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, TAX RETURNS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CT PIPE TRADES BENEFIT FUNDS ADMINISTRATION INC 1155 SILAS DEANE HIGHWAY WETHERSFIELD CT 06109 061542648 BENEFIT PLAN ADMINISTRATION CT C 176939 0.77000 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 CT PIPE TRADES BENEFIT FUNDS ADMINISTRATION INC M 784184 CT PIPE TRADES BENEFIT FUNDS ADMINISTRATION INC R 773836