2014-12-08T15:57:43-06:00 2014-05-31 382971941 ROGOW & LONEY PC 3135 S STATE ST SUITE 208 ANN ARBOR MI 481081653 990 2013-06-01 386141764 JOINT BOARD OF TRUSTEES IBEW 252 HEALTH AND WELFARE TRUST FUND JOIN 7346632178 3135 S STATE ST ROOM/SUITE 105 ANN ARBOR MI 481081653 KEVIN LADD BOARD CHAIR 7346632178 2014-10-27 NEIL J LONEY P00448751 7347410400 2014-12-08 2013 2015-11-30 17:44:51Z 19146398 false X X 1966 MI PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS 8 3 0 8 0 0 9327419 9677310 138047 119006 0 9465466 9796316 0 7443631 6001471 0 0 0 2486198 2844646 9929829 8846117 -464363 950199 4856715 5992919 101662 149050 4755053 5843869 PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS false false 6001471 SELF FUNDED PAYMENTS FOR LOSS OF TIME AND MEDICAL,DENTAL, VISION & PRESCRIPTION BENEFITS. COVERS MEMBERS AND DEPENDENTS. 1,568 PERSONS COVERED FOR 5/31/14. 1446949 INSURED COVERAGE FOR LIFE,ACCIDENTAL DEATH FOR MEMBERS ONLY,PLUS STOP-LOSS COVERAGE FOR THE MEDICAL BENEFITS. 668686 RECIPROCAL PAYMENTS. 8117106 false false false false false false false false false true false false false false false true false false false false false false false false false false false false false false false false true false false false false false false false false false false true 0 0 false 0 false false false false false false X 8 3 false false true false true true false true true false false true true true true true true false false false X BANK OF ANN ARBOR 7346631128 125 S FIFTH 125 S FIFTH ANN ARBOR MI 481078009 X KEVIN LADD TRUSTEE 8.00 X 0 0 0 ROBERT TURNER TRUSTEE 8.00 X 0 0 0 WILLIAM WHITE TRUSTEE 8.00 X 0 0 0 ERIC MALEY TRUSTEE 8.00 X 0 0 0 GREG STEPHENS TRUSTEE 8.00 X 0 0 0 TIMOTHY HUTCHINS TRUSTEE 8.00 X 0 0 0 JOHN KREGER TRUSTEE 8.00 X 0 0 0 DAN CERVENAN TRUSTEE 8.00 X 0 0 0 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN 232 S CAPITOL AVENUE LANSING MI 48933 ADMINISTRATION 297809 ANN ARBOR BENEFIT ADMINISTRATORS 3135 S STATE ST STE 105 ANN ARBOR MI 481081653 ADMINISTRATION 236033 2 MEMBERSHIP DUES & ASSESSMENTS 9677310 9677310 9677310 130079 130079 9339009 9350082 -11073 -11073 -11073 9796316 9796316 6001471 6001471 533842 533842 79090 79090 22311 22311 26520 26520 8113 8113 INSURANCE EXPENSES 1446949 1446949 RECIPROCAL PAYMENTS 668686 668686 ACTUARIAL FEE 46840 46840 CONSULTING FEE 7083 7083 5212 5212 8846117 8117106 729011 0 63395 218008 662140 746982 716246 834690 252458 252458 3414934 4193239 4856715 5992919 101662 149050 101662 149050 X 4755053 5843869 4755053 5843869 4856715 5992919 950199 138617 X X false true X true false 252458 252458 9934933 138617 138617 9796316 9796316 8846117 8846117 8846117 ROBERT TURNER PARTICIPANT PLAN PARTICIPANT false KEVIN LADD PARTICIPANT PLAN PARTICIPANT false WILLIAM WHITE PARTICIPANT PLAN PARTICIPANT false GREG STEPHENS PARTICIPANT PLAN PARTICIPANT false TIMOTHY HUTCHINS PARTICIPANT PLAN PARTICIPANT false FORM 990, PAGE 6, PART VI, LINE 4 THE PLAN ADOPTED AMENDMENTS WHICH CHANGED BENEFITS AVAILABLE TO PARTICIPANTS AND PARTICIPANT PAYMENT AMOUNTS. FORM 990, PAGE 6, PART VI, LINE 6 UNION MEMBERS OF INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS 252 FORM 990, PAGE 6, PART VI, LINE 7A BOARD OF TRUSTEES ARE ELECTED BY THE IBEW 252 UNION MEMBERS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 WAS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF TRUSTEES BEFORE FILING. NO REVIEW WAS CONDUCTED. FORM 990, PAGE 6, PART VI, LINE 12C THE RELEVANT CONFLICT OF INTEREST POLICY STATES: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE ORGANIZATION IS TAX EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC AT THE FUND OFFICE, 3135 S STATE ST., SUITE 105, ANN ARBOR, MI 48108. FORM 990, PART XII LINE 1 - METHOD OF ACCOUNTING ACCRUAL METHOD OF ACCOUNTING EXCEPT THAT NO ESTIMATE HAS BEEN MADE FOR HEALTH AND DISABILITY CLAIMS INCURRED BUT NOT REPORTED TO THE PLAN ADMINISTRATOR.