2012-07-30T09:34:53-05:00 2011-12-31 840676265 SSA PC 3355 American Drive Colorado Springs CO 809175707 990 2011-01-01 870496328 IBEWWestern Utilities Health and Welfare Trust Fund UTAH 8019731001 2156 West 2200 South Salt Lake City UT 841191376 Julie Lewis 5038135048 2012-07-30 1 William C Sanden CPA P00013248 7195740100 2011 2016-02-24 21:20:13Z Julie Lewis 825 E Multnomah Portland OR 97232 35547053 0 X n/a X 1991 UT Provide medical, dental and life insurance benefits 8 8 0 0 0 0 0 0 31542398 34204921 292317 327760 1200 3083 31835915 34535764 0 0 28944560 31093449 0 0 0 0 0 1770230 1734813 30714790 32828262 1121125 1707502 11759394 12963403 6738702 6319618 5020692 6643785 To provide medical, dental and life insurance benefits to participants of the Plan. 0 0 31864642 The Plan provides medical, dental and life insurance benefits under a collectively bargained agreement between IBEW Local Union 57 and PacifiCorp dba Rocky Mountain Power. 31864642 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 0 0 0 0 1 1465 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 X Compusys of Utah 8019731001 2156 West 2200 South Salt Lake City UT 84119 X Brent Donohue 5.00 X 0 0 0 Calvin Ockey 5.00 X 0 0 0 Gary Cox 5.00 X 0 0 0 Julie Lewis 5.00 X 0 0 0 Erich Wilson 5.00 X 0 0 0 Travis Eri 5.00 X 0 0 0 Paul Radakovich 5.00 X 0 0 0 Jeremy Courval 5.00 X 0 0 0 0 0 0 0 0 0 0 0 Contributions Medical 524114 32840544 32840544 Contributions Life 524113 1293223 1293223 Self Pay Cobra Medical 524114 57553 57553 Flex Forfeitures 524114 13601 13601 34204921 280808 280808 1058241 1011289 46952 46952 46952 Other 900099 3083 3083 3083 34535764 34254956 0 280808 31093449 31093449 28906 28906 27085 27085 4852 4852 8270 8270 Administrative Fees - C 552000 552000 Managed Care Review - D 298244 298244 Consultant Fee - Segal 198020 198020 PPO Fees - Cigna 177348 177348 440088 295601 144487 32828262 31864642 963620 0 401338 1090637 1604460 908721 433467 604631 16446 17783 9303683 10341631 11759394 12963403 663962 185143 6074740 6134475 6738702 6319618 X 5020692 6643785 5020692 6643785 11759394 12963403 X 1707502 -84409 X 0 1 1 X 0 0 Claims Incurred Not Reported 4716000 Claims Payable 1418475 6134475 34535764 32828262 1707502 -84409 -84409 1623093 34359886 -84409 -84409 34444295 91469 91469 34535764 32677058 0 32677058 91469 59735 151204 32828262 Description of Uncertain Tax Positions Under FIN 48: Part X: The Plan has adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Accounting for Uncertainty in Income Taxes, which prescribes a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return and also provides guidance on various related matters such as derecognition, interest, penalties and disclosures required. The Plans determination as a tax-exempt entity is considered a tax position subject to the requirements of ASC 740. There were no unrecognized tax benefits at December 31, 2011, and the Plan does not believe it is reasonably possible that unrecognized tax benefits related to this tax position will significantly change within twelve months of the reporting date. The Plan would recognize interest and penalties, if any, related to unrecognized tax benefits as income tax expense. The Plan did not have any accrued liabilities or expense for interest or penalties related to unrecognized tax benefits for the years ended December 31, 2010 and 2009. Part XIII, Line 4b: Change in claims incurred not yet reported and change in claims payable. Form 990, Part VI, Section B, line 11 The Form 990 is reviewed at the Board of Trustees meeting prior to filing the return. All board members have the opportunity to ask questions. The board chairman signs the return at the conclusion of the discussion and is responsible for mailing the return. Form 990, Part VI, Section C, line 19 The documents and financial statements are available upon request by any interested party. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -84409.