2011-11-15T14:40:06-05:00 2010-12-31 KPMG LLP 345 Park Avenue New York NY 101540102 990 2010-01-01 136125570 1199SEIU Greater New York Benefit Fund 1199 6464736030 PO BOX 842 NEW YORK NY 10108 LOUISE BAYER 2011-11-15 2127589700 2010 2016-03-07 17:11:31Z MITRA BEHROOZI 330 WEST 42ND STREET NEW YORK NY 10036 164038698 false X N/A X 1992 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. 12 12 0 12 0 0 0 0 162558994 163213663 44448 50831 808780 774204 163412222 164038698 0 0 153043540 164420363 7221085 7448391 0 0 0 5992997 5752895 166257622 177621649 -2845400 -13582951 43433017 48556617 39413671 57911785 4019346 -9355168 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. false false 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. NUMBER OF MEMBERS IS 24,011. 0 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 false true 7292 0 true 0 false false false false false false X 12 12 true false false false false true false true true false false false true true true true true true true false X LOUISE BAYER CFO 6464736360 330 WEST 42ND STREET NEW YORK NY 10036 X JOHN CHOBOR 1.0 X X 0 0 0 THOMAS HAAS 1.0 X 0 0 0 WILLIAM PASCOCELLO 1.0 X 0 0 0 ROBIN ROSEN 1.0 X 0 0 0 HOWARD SUKOFF 1.0 X 0 0 0 MARIA CASTANEDA 1.0 X 0 0 0 PEARL GRANAT 1.0 X 0 0 0 MICHAEL RIFKIN 1.0 X X 0 0 0 JOHN SEALES 1.0 X 0 0 0 ALLAN SHERMAN 1.0 X 0 0 0 NEVA SHILLINGFORD 1.0 X 0 0 0 MILLY SILVA 1.0 X 0 0 0 MITRA BEHROOZI 2.0 X 19636 16054 12554 LORRAINE MONCHAK 2.0 X 22550 18436 13659 FREDERICK HAGEN 2.0 X 13854 11327 8303 DONNA REY 2.0 X 15015 12210 9222 LOUISE BAYER 2.0 X 12664 10298 7516 83719 68325 51254 0 false false false MEDCO HEALTH SOLUTIONS INC 400 Parsons Pond Dr FRANKLIN LAKES NJ 07417 ADMINISTRATIVE SRVCS 492000 MILLIMAN INC 1301 Fifth Avenue SEATTLE WA 98101 ACTUARY 406848 CAREALLIES 1601 Chestnut Street NEW YORK NY 19192 CLAIMS REVIEWER 404357 DDS INC 1640 HEMPSTEAD TURNPIKE EAST MEADOW NY 11554 CLAIMS ADMINISTRATOR 329875 MEYER SUOZZI ENGLISH KLEIN PC 1350 BROADWAY NEW YORK NY 10018 LEGAL COUNSEL 290689 5 0 EMPLOYER CONTRIBUTION 900099 162293492 162293492 COBRA 900099 375891 375891 EMPLOYER DELINQUENCIES 900099 544280 544280 163213663 50831 50831 0 0 0 0 0 0 OTHER INCOME 900099 774204 774204 774204 164038698 163987867 0 50831 0 0 0 164420363 0 203297 0 5044948 1774514 0 425632 0 381818 68469 0 0 11589 779356 0 663816 274229 0 2256144 0 0 0 0 0 0 108786 THIRD PARTY ADMIN PRESCRIPTION 770339 MANAGED CARE PRECERTIFICATION 438349 177621649 0 4531914 7042208 29859279 27467688 0 0 0 0 6323624 9321140 792954 1001322 1925246 3724259 43433017 48556617 1206146 1363174 38207525 56548611 39413671 57911785 X 4019346 -9355168 4019346 -9355168 43433017 48556617 X -13582951 208437 X false true true X false DUE FROM PHARMACY & OTHER 2097633 OTHER ASSETS 38278 DUE FROM RELATED ENTITIES 1588348 3724259 0 DUE TO RELATED PARTIES 64789 BENEFIT OBLIGATIONS 50932842 BANK OVERDRAFT 5550980 56548611 164038698 177621649 -13582951 208437 16962175 17170612 3587661 164235546 208437 208437 164027109 11589 11589 164038698 160647885 160647885 11589 16962175 16973764 177621649 RECONCILIATION OF EXPENSE FORM 990, SCHEDULE D, PART XIII, LINE 4B CHANGE IN BENEFITS REPORTED AND PAID:......................$16,962,175 RECONCILIATION OF NET ASSETS FORM 990, SCHEDULE D, PART XI, LINE 8 CHANGE IN BENEFITS REPORTED AND PAID:......................$16,962,165 FIN 48 FOOTNOTE FORM 990, SCHEDULE D, PART XIV ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX PROVISIONS 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, 2010, THERE ARE NO UNCERTAIN POSITION 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 2007. 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, LINES 6 & 7A LINE 6: THE FUND HAS UNION TRUSTEES AND EMPLOYER TRUSTEES. LINE 7A: The Union trustees are appointed by 1199SEIU United Healthcare Workers East, and the employer trustees are appointed by the Greater New York Health Care Facilities Association, Inc. REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, LINE 11A THE CHIEF FINANCIAL OFFICER AND FINANCE TEAM REVIEWS THE DRAFT FORM 990 AND CONFERS 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 DESCRIPTIONS AND FINANCIAL REPORTS ARE MADE PUBLIC PURSUANT TO IRS FILING 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 THERFORE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX UNDER IRC SECTION 512(A)(3). OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 12 UNREALIZED GAIN ON INVESTMENTS....................................$208,437 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN CHOBOR TITLE:EMPLOYER TRUSTEE/CHAIR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS HAAS TITLE:EMPLOYER TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM PASCOCELLO TITLE:EMPLOYER TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBIN ROSEN TITLE:EMPLOYER TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HOWARD SUKOFF TITLE:EMPLOYER TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARIA CASTANEDA TITLE:UNION TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PEARL GRANAT TITLE:UNION TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL RIFKIN TITLE:UNION TRUSTEE/CO-CHAIR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN SEALES TITLE:UNION TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALLAN SHERMAN TITLE:UNION TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NEVA SHILLINGFORD TITLE:UNION TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MILLY SILVA TITLE:UNION TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MITRA BEHROOZI TITLE:EXECUTIVE OFFICER HOURS:33 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LORRAINE MONCHAK TITLE:CHIEF INVESTMENT OFFICER HOURS:33 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FREDERICK HAGEN TITLE:CHIEF BENEFITS OFFICER HOURS:33 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DONNA REY TITLE:CROSS FUNDS CHIEF ADM OFFICER HOURS:33 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LOUISE BAYER TITLE:CROSS FUNDS CFO HOURS:33 1199SEIU GREATER NY PENSION FUND 330 WEST 42ND STREET NEW YORK NY 10036 136601940 PENSION FUND NY 401(A) NA 1199SEIU GREATER NEW YORK EDUCATION FUND 330 WEST 42ND STREET NEW YORK NY 10036 133753121 EDUC/TRAINING NY 501(C)(9) NA 1199SEIU GREATER NEW YORK CHILDCARE FUND 330 WEST 42ND STREET NEW YORK NY 10036 753086330 CHILDCARE FUD NY 501(C)(9) NA 1199SEIU GREATER NY WORKER PARTICIPATION 330 WEST 42ND STREET NEW YORK NY 10036 134079917 LABOR MNGT NY 501(C)(5) N/A 1199SEIU GREATER NY JOB SECURITY 330 WEST 42ND STREET NEW YORK NY 10036 050557207 BENEFIT FUND NY 501(C)(9) NA false false false false false false false false false false false false false true true true false false