2012-03-14T11:39:00-05:00 2011-06-30 BEERS HAMERMAN & CO PC 234 CHURCH STREET NEW HAVEN CT 06510 990 2010-07-01 060660430 CONNECTICUT PIPE TRADES HEALTH FUND C/O CT PIPE TRADES BENEFIT FUNDS ADMIN CONN 8008482129 1155 SILAS DEANE HIGHWAY WETHERSFIELD CT 061094318 JOHN BARRASSO 2032810588 2011-02-15 1 2037876527 2012-03-02 2010 2016-02-24 21:20:13Z JOHN BARRASSO 10 BROADWAY HAMDEN CT 06518 59749896 0 X NONE X EMPLOYEE BENEFIT PLAN 1951 CT THE PURPOSE OF THE FUND IS TO PROVIDE HEALTH INSURANCE FOR ITS MEMBERS. 10 10 61 0 0 0 0 0 25810228 25358293 2061361 2279150 0 0 27871589 27637443 0 0 20029058 22124972 788049 836950 0 0 0 2070973 2129631 22888080 25091553 4983509 2545890 40411578 43421088 3285146 3254543 37126432 40166545 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 15860836 25358293 MEDICAL, DENTAL & VISION CLAIMS 5862873 PESCRIPTION DRUG CLAIMS 318163 DISABILITY CLAIMS 22041872 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 0 1 949 0 61 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 COSMO SEABERG 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 ANTHEMWELLPOINT 370 BASSETT ROAD NORTH HAVEN CT 06473 CLAIMS ADMINISTRATION 784358 CT PIPE TRADES BENEFIT FUNDS ADMINISTRAT 1155 SILAS DEANE HIGHWAY WETHERSFIELD CT 06109 THIRD PARTY ADMINISTRATION 740735 SEGAL COMPANY 30 WATERSIDE DRIVE SUITE 300 FARMINGTON CT 06032 CONSULTANT 108379 3 MEMBERSHIP CONTRIBUTIO 525100 24917534 24917534 MEDICARE PRESCRIPTION 525100 440759 440759 25358293 1183346 1183346 33208257 32112453 1095804 1095804 1095804 27637443 25358293 0 2279150 22124972 788698 48252 740735 86812 41006 106153 144196 31333 23682 35137 MANAGED CARE FEES 892736 DUES 27841 25091553 914443 1521653 3003414 2644043 53463 29878 36207718 38992974 232540 232540 40411578 43421088 3285146 3254543 3285146 3254543 X 0 0 0 0 37126432 40166545 37126432 40166545 40411578 43421088 X 2545890 494223 X 0 1 1 X 0 0 27637443 25091553 2545890 494223 494223 3040113 28025513 494223 494223 27531290 106153 106153 27637443 24902300 0 24902300 106153 83100 189253 25091553 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2008 THROUGH 2010. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INCURRED BUT NOT REPORTED CLAIMS EXPENSE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 494,223. CT PIPE TRADES BENEFIT FUNDS ADMINISTRATION INC 1155 SILAS DEANE HIGHWAY WETHERSFIELD CT 06109 061542648 BENEFIT PLAN ADMINISTRATION CT C 107899 0.77000 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 L 740735 CT PIPE TRADES BENEFIT FUNDS ADMINISTRATION INC Q 717757