2011-03-30T09:33:02-07:00 2010-08-31 Levinson Simon Hein & Bilkey PC 566 West Lake Street Suite 300 Chicago IL 606611414 990 2009-09-01 237009055 WISCONSIN LABORERS HEALTH FUND WISC 6088461742 4633 LIUNA WAY DEFOREST WI 53532 JOHN SCHMITT 2011-03-30 Corey Bilkey 2009 2016-02-24 21:20:13Z 130499735 false false X N/A X 1967 WI TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE PLAN. 13 13 124 0 0 75811450 69904476 -1120533 4586268 0 74690917 74490744 0 58901399 50523929 32399 28202 0 0 3556601 4597729 62490399 55149860 12200518 19340884 130334211 151609194 31328001 25863608 99006210 125745586 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE PLAN. false false THE PLAN PROVIDES HOSPITAL,MEDICAL, SURGICAL, DENTAL, VISION, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, DISABILITY, AND SKILLED NURSING CARE BENEFITS TO ALL ELIGIBLE PARTICIPANTS. false false false false false false false false false false 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 false false false false false true false false false true 0 0 false 124 true false false false false false false false false false false false false 13 13 false true false false false false false true true false false false false true true true false true false false false false X ZENITH ADMINISTRATORS 6088461742 4633 LIUNA WAY SUITE 201 DEFOREST W DEFOREST WI 535322514 X WILLIAM KENNEDY 3.00 X 0 0 0 TONY NEIRA 3.00 X 0 0 0 TONY MARCELLE 3.00 X 0 0 0 THOMAS PTACIN 3.00 X 0 0 0 THOMAS FISHER 3.00 X 0 0 0 RON HOLDEN 3.00 X 0 0 0 PATRICK BASTIEN 3.00 X 0 0 0 MARY WILCOX 3.00 X 0 0 0 KEVIN LEE 3.00 X 0 0 0 KENT GENTNER 3.00 X 0 0 0 JOHN TOPP 3.00 X 0 0 0 JOHN SCHMITT 3.00 X 0 0 0 DAVID BOHL 3.00 X 0 0 0 COREY MCGOVERN 3.00 X 0 0 0 BRIAN HORNUNG 3.00 X 0 0 0 0 false false false ZENITH ADMINISTRATORS 4633 LIUNA WAY SUITE 201 DEFOREST WI 53532 ADMIN 1359728 THE SEGAL COMPANY 101 N WACKER DR SUITE 500 CHICAGO IL 60606 CONSULTANT 178078 PREVIANT GOLDBERG & UELMEN 1555 NORTH RIVERCENTER DR STE 202 MILWAUKEE WI 53212 LEGAL SERVICES 578703 DELTA DENTAL INSURANCE PO BOX 981 STEVENS POINT WI 54481 CLAIMS ADMINISTRATOR 192503 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 34210 LOUISVILLE KY 40233 PPO SERVICE FEES 1029801 10 0 SUBROGATION 900099 1493684 1493684 SELF-PAY CONTRIBUTIONS 900099 8017027 8017027 LIQUIDATED DAMAGES 900099 30486 30486 EMPLOYER CONTRIBUTIONS 900099 60363279 60363279 69904476 4446633 4446633 0 0 0 56148626 56008991 139635 139635 139635 0 0 0 0 74490744 69904476 4586268 0 0 0 50523929 0 0 0 0 0 28202 1359728 609640 55636 0 0 478878 1773614 0 222637 0 0 67984 0 0 1329 0 0 0 28283 0 55149860 0 0 0 0 10666854 9740748 0 8645091 8096109 0 0 0 0 33164 8462 0 93482474 116166546 16883275 16792767 0 0 623353 804562 130334211 151609194 2163201 3215308 29164800 22648300 31328001 25863608 X 99006210 125745586 99006210 125745586 130334211 151609194 X false true true X false false 16792767 EST FOR INCUR BUT NOT RPTD 5048300 EST FOR EXTENDED ELIG 17600000 22648300 74490744 55149860 19340884 7398495 -5569481 1829014 21169898 81410361 7398495 7398495 74011866 478878 478878 74490744 60240463 5569481 5569481 54670982 478878 478878 55149860 Part XIII, Line 2d Part XIII, Line 2d: Other expenses and losses per audited F/S DECREASE IN IBNR $1516500 DECREASE IN EXTENDED ELIGIBILITY $5000000 INCREASE IN CLAIMS PAYABLE $-947019 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances INCREASE IN CLAIMS $947019 $0 DECREASE IN EXTENDED ELIGIBILITY $ -5000000 DECREASE IN IBNR $ -1516500 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR DEPARTMENT OF LABOR. ALSO, THE FORM 5500 IS OPEN TO PUBLIC INSPECTION. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND HAVE A FIDUCIARY RESPONSIBILITY UNDER ERISA TO ADMINISTER THE PLAN IN THE BEST INTEREST OF THE MEMBERSHIP. THE US DEPARTMENT OF LABOR REQUIRES ALL LABOR TRUSTEES TO REPORT ON FORM LM-30 POTENTIAL SITUATIONS WHERE THERE MAY BE CONFLICTS OF INTEREST. THIS INFORMATION IS OPEN TO THE PUBLIC. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE TRUSTEES AUTHORIZE THE FUND'S THIRD PARTY ADMINISTRATOR AND A DESIGNATED TRUSTEE TO REVIEW THE FORM 990 BEFORE ITS FILED. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company ZENITH ADMINISTRATORS IS THE THIRD PARTY ADMINISTRATOR HIRED TO ADMINISTER THE FUND'S DAY-TO-DAY OPERATIONS. WISCONSIN LABORERS APPR & TRAINING FUND 4633 LIUNA WAY 100 DEFOREST WI 53532 391161160 TO PROVIDE TRAINING AND IMPROVE THE SKILLS OF MEMBERS WI 501C 3 N/A WISCONSIN LABORERS PENSION FUND 4633 LIUNA WAY SUITE 201 DEFOREST WI 53532 396198530 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS WI 401 A N/A false false false false false false false false false true false false false false false false false false