2014-11-14T18:26:50-06:00 2013-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2013-01-01 134129368 1199SEIU NBF FOR HOME CARE EMPLOYEES % MARIA ACOSTA CFO 1199 6464736365 PO BOX 842 Suite NEW YORK NY 10108 MARIA ACOSTA CFO 6464736365 2014-11-14 true KPMG LLP P01085371 6464736365 2013 2015-11-30 17:44:51Z MITRA BEHROOZI 330 WEST 42ND STREET ST FLOOR NEW YORK NY 10036 135347432 false X HTTP://1199SEIUBENEFITS.ORG X 1949 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. 10 10 0 10 0 0 0 195327100 135332304 16197 15128 0 0 195343297 135347432 0 0 157540237 138815025 6016725 6369074 0 0 0 4723466 4680376 168280428 149864475 27062869 -14517043 73835931 55748485 31471981 27901578 42363950 27846907 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. false false TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. IN 2013, 25,616 MEMBERS/PARTICIPANTS RECEIVED HEALTH AND WELFARE BENEFITS. false false false false false false false false true false false true 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 5017 0 true 0 false false false false false false X 10 10 true false false false false true false true true false false false true true true true true false false false X MARIA ACOSTA CFO 6464736365 330 WEST 42ND STREET 28TH FLOOR NEW YORK NY 10036 CAROLYN BROOKS UNION TRUSTEE 1.0 X 0 0 0 JAMES CAREY EMPLOYER TRUSTEE 1.0 X 0 0 0 KWAI DAVID HO UNION TRUSTEE 1.0 X 0 0 0 AIDA GARCIA UNION TRUSTEE UNTIL 06/13/2014 1.0 X 0 0 0 BRUCE MCIVER EMPLOYER TRUSTEE 1.0 X 0 0 0 HAROLD MOORER EMPLOYER TRUSTEE 1.0 X 0 0 0 MINERVA PENA UNION TRUSTEE 1.0 X 0 0 0 RONA SHAPIRO UNION TRUSTEE 1.0 X 0 0 0 DORIS SPENCER EMPLOYER TRUSTEE 1.0 X 0 0 0 LOUISE WEATHERS EMPLOYER TRUSTEE 1.0 X 0 0 0 VLADIMIR FORTUNNY UNION TRUSTEE EFF. 06/13/2014 1.0 X 0 MARIA ACOSTA CROSS FUNDS CFO 2.0 X 15515 0 5896 MITRA BEHROOZI EXECUTIVE OFFICER 2.0 X 26050 0 10402 FREDERICK HAGEN CHIEF BENEFITS OFFICER 2.0 X 16991 0 6528 LORRAINE MONCHAK CHIEF INVESTMENTS OFFICER 2.0 X 34401 0 13429 DONNA REY CROSS FUNDS CHIEF ADMN OFFICER 2.0 X 20108 0 7784 113065 0 44039 0 false false false CARE ALLIES PRE-CERT 5144 COLLECTION CENTER DRIVE CHICAGO IL 60693 CONSULTING (GENERAL) 594492 MEDCO HEALTH ADMIN FEE 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 CONSULTING (GENERAL) 458322 EBS MASTER LLC DBA EMDEON ABF 3055 LEBANON PIKE SUITE 1000 NASHVILLE TN 37214 COPYING/DUPLICATING 258031 MILLIMAN INC 1 PENN PLAZA 38TH FLOOR NEW YORK NY 10119 ACTUARIAL 201760 STEP VISUAL COMMUNICATIONS 38 LAWRIDGE DRIVE RYE BROOK NY 10573 COPYING/DUPLICATING 255080 6 0 EMPLOYER CONTRIBUTIONS 900099 106045788 106045788 COBRA PAYMENTS 900099 188665 188665 NYC PERSONAL CARE PROVIDERS RATE ADJUSTMENT 900099 22169249 22169249 MEMBER PREMIUMS 900099 6904688 6904688 INTEREST & CHARGES - EMPLOYER DELINQUENCIES 900099 23914 23914 135332304 15128 15128 0 0 0 0 0 0 0 0 0 0 135347432 135332304 15128 0 0 0 138815025 157101 0 4165265 1700145 10908 335655 0 110856 98836 0 0 0 456782 0 981285 181720 0 1679501 0 0 0 22583 0 0 95999 MANAGED CARE PRECERTIFICATION 594492 THIRD PARTY ADMIN CHARGES 458322 149864475 0 0 4670922 8555172 0 0 34181124 32445319 0 0 0 0 0 0 0 0 0 0 3100008 3100008 0 0 0 0 0 0 0 0 0 34983885 14747994 73835931 55748485 1646745 1173134 0 0 0 0 0 0 0 0 0 0 0 0 0 4000000 29825236 22728444 31471981 27901578 X 42363950 27846907 0 0 0 0 42363950 27846907 73835931 55748485 -14517043 X false true X true false 2456334 2456334 0 153910 153910 0 489764 489764 0 0 NYC PERS. CARE PROV. RATE ADJ 11932231 DUE FROM PHAR BENE MANAGER 2807082 DUE FROM RELATED ENTITIES 8681 14747994 0 DUE TO RELATED ENTITIES 2339308 BENEFIT OBLIGATIONS CURRENTLY PAYABLE 20389136 22728444 X 135347432 135347432 135347432 157611409 7746934 7746934 149864475 149864475 RECONCILIATION OF EXPENSE FORM 990, SCHEDULE D, PART XII, LINE 2D Change in Amounts Paid to Insurance Companies:..............$7,745,934 FIN 48 FOOTNOTE Form 990, Schedule D, Part X, Line 2 US GAAP REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF LIABILITY (OR ASSET) OR DISCLOSURE IN FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010. BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 2 ALL OF THE UNION TRUSTEES ARE ALSO EMPLOYEES OF 1199SEIU (THE UNION) AND THEREFORE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. MEMBERS/STOCKHOLDERS FORM 990, PART VI, Line 6: The Fund has Union Trustees and Employer Trustees. FORM 990, PART VI, LINE 7A The Union trustees are appointed by 1199SEIU United Healthcare Workers East, and the employer trustees are appointed by the Contributing Employers. REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER AND FINANCE TEAM REVIEW THE DRAFT FORM 990 AND CONFER WITH THE ACCOUNTANTS AND LEGAL COUNSEL TO ENSURE THE ACCURACY OF THE RETURN. ANY CONCERNS ARE NOTED AND ADDRESSED AND MANAGEMENT ENSURES THAT THE CHANGES ARE INCORPORATED IN THE FORM 990. THE COMPLETED FORM 990 IS THEN SIGNED BY THE CHIEF FINANCIAL OFFICER. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES AND EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE OR UPDATE TO THE EXECUTIVE DIRECTOR, OR DESIGNEE, THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTERESTS. FOR EACH INTEREST DISCLOSED BY A TRUSTEE, THE EXECUTIVE DIRECTOR OR DESIGNEE WILL DETERMINE WHETHER TO (A) TAKE NO ACTION (B) ASSURE FULL DISCLOSURE TO THE TRUSTEES (C ) ASK THE TRUSTEE TO BE RECUSED FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS; AND/OR (D) ASK THE TRUSTEE TO RESIGN. REGARDING EMPLOYEES, COMPLETED CONFLICTS OF INTEREST DISCLOSURE FORMS WILL BE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT AND DISCLOSED CONFLICTS WILL BE REVIEWED BY CHIEF OF HUMAN RESOURCES. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A AND 15B Compensation for all directors, officers and key employees of the Fund is determined by the Cross Funds Compensation Committee (the "Committee"), comprised of independent members. The Committee utilizes appropriate data as to comparability in its determinations, including information provided by independent compensation consultants. The Committee documents the basis for any compensation determinations contemporaneously in the minutes of the Committee. The Committee determines compensation periodically as it deems appropriate. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 SUMMARY PLAN DISCRIPTIONS AND FINANCIAL REPORTS ARE MADE PUBLIC PURSUANT TO IRS REQUIREMENTS. WRITTEN REQUESTS FOR OTHER INFORMATION WILL BE FORWARDED TO GENERAL COUNSEL'S OFFICE FOR CONSIDERATION. UNRELATED BUSINESS INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 419A(F)(5)(A), COLLECTIVE BARGAINING AGREEMENTS ARE EXEMPT FROM ACCOUNT LIMIT REQUIREMENTS SET UNDER IRC SECTION 419A(C), AND ARE THEREFORE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX UNDER IRC SECTION 512(A)(3). ALLIANCE HOME SERVICES inc BETH EMETH HOME ATTENDANT BRONX JEWISH COMMUNITY COUNCIL BRONX JEWISH HOUSEKEEPER BUSHWICK STUYVESANT HEIGHTS CHINESE-AMERICAN PLANNING FEGS HOME ATTENDANT SERVICES FAMILY CARE SERVICES FIRST CHINESE PRESBYTERIAN community hom JEWISH COMMUNITY COUNCIL NEW YORK FOUNDATION FOR SENIOR RICHMOND HOME NEEDS SERVICES RIDGEWOOD BUSHWICK SENIOR ROCKAWAY HOME ATTENDANT SAINT NICHOLAS HUMAN SUPPORT SCHOOL SETTLEMENT HOME STELLA ORTON HOME CARE AGENCY SUNNYSIDE home care COUNCIL FOR HUMAN SERVICES FAMILY HOME CARE FEGS HA SVC-BRONX-366 HOME CARE SERVICES FOR PERSONAL TOUCH HOME CARE-HRA PROJECT OHR INC SOCIAL CONCERNS VENDOR AGENCY SUNNYSIDE - COMMUNITY HOME UNITED JEWISH COUNIL OF THE ALL CITY CARE ALL METRO HEALTH CARE ALL SEASONS HOME ATTENDANTS BHRAGS HOME CARE CORPORATION CABS HOME ATTENDANT SERVICES CABS HOUSEKEEPER SERVICE CIDNY INDEPENDENT LIVING COOPERATIVE HOME CARE HOME ATTENDANT SERVICES OF HYDE PARK HOME HEALTH MANAGEMENT SERVICE KIND CARE PSC COMMUNITY SERVICES PEOPLE CARE DFTA RAIN HOME ATTENDANT SERVICES SOCIAL CONCERNS community false false false false false false false false false false false false false false false false false false true