2011-01-24T09:10:18-06:00 2010-05-31 ROGOW & LONEY PC 3135 S STATE ST SUITE 208 ANN ARBOR MI 481081653 990 2009-06-01 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 7346632178 2010-12-23 NEIL J LONEY 7347410400 2011-01-24 2009 2016-02-24 21:20:13Z 23670921 false X X 1966 MI PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS 8 2 0 8 0 0 8910714 9695260 84096 473975 0 8994810 10169235 0 6893497 7751256 0 0 0 1872637 2101405 8766134 9852661 228676 316574 7214999 7908730 165291 191179 7049708 7717551 PROVIDE HEALTH BENEFITS TO IBEW LOCAL 252 UNION MEMBERS false false 7751256 SELF FUNDED PAYMENTS FOR LOSS OF TIME AND MEDICAL,DENTAL, VISION & PRESCRIPTION BENEFITS. COVERS MEMBERS AND DEPENDENTS. 2266 PERSONS COVERED FOR 5/31/10. 291885 INSURED COVERAGE FOR LIFE,ACCIDENTAL DEATH FOR MEMBERS ONLY,PLUS STOP-LOSS COVERAGE FOR THE MEDICAL BENEFITS. 1143514 RECIPROCAL PAYMENTS. 9186655 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 true false false false false false false false false false false true 0 0 false 0 false false false false false 8 2 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 8.00 X 0 0 0 ROBERT TURNER 8.00 X 0 0 0 WILLIAM WHITE 8.00 X 0 0 0 ERIC MALEY 8.00 X 0 0 0 GREG STEPHENS 8.00 X 0 0 0 TIMOTHY HUTCHINS 8.00 X 0 0 0 JOHN KREGER 8.00 X 0 0 0 DAN CERVENAN 8.00 X 0 0 0 false false false BLUE CROSS BLUE SHIELD OF MICHIGAN ADMINISTRATION 281467 ANN ARBOR BENEFIT ADMINISTRATORS 3135 S STATE ST STE 105 ANN ARBOR MI 481081653 ADMINISTRATION 221067 2 MEMBERSHIP DUES & ASSESSMENTS 9695260 9695260 9695260 298705 298705 13676956 13501686 175270 175270 175270 10169235 10169235 7751256 7751256 502534 502534 56243 56243 16720 16720 30033 30033 7639 7639 7692 7692 RECIPROCAL PAYMENTS 1143514 1143514 INSURANCE EXPENSES 291885 291885 ACTUARIAL FEE 31762 31762 CONSULTING FEE 9483 9483 TRANSFER FEES 2137 2137 1763 1763 9852661 9186655 666006 0 558852 94163 699069 905991 573426 1074612 252458 252458 5383652 5833964 7214999 7908730 165291 191179 165291 191179 X 7049708 7717551 7049708 7717551 7214999 7908730 X false true true X false false false false false false false false false false false 252458 252458 10169235 9852661 316574 351269 351269 667843 10520504 351269 351269 10169235 10169235 9852661 9852661 9852661 ROBERT TURNER PARTICIPANT PLAN PARTICIPANT false KEVIN LADD PARTICIPANT PLAN PARTICIPANT false WILLIAM WHITE PARTICIPANT PLAN PARTICIPANT false GREG STEPHAENS PARTICIPANT PLAN PARTICIPANT false TIMOTHY HUTCHINS PARTICIPANT PLAN PARTICIPANT false SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 THE PLAN ADOPTED AN AMENDMENT TO BRING IT INTO COMPLIANCE WITH THE MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT OF 2008 - MHPAEA. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 UNION MEMBERS OF INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS 252 ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A BOARD OF TRUSTEES ARE ELECTED BY THE IBEW 252 UNION MEMBERS. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 THE FORM 990 WAS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF TRUSTEES BEFORE FILING. NO REVIEW WAS CONDUCTED. ENFORCEMENT OF CONFLICTS POLICY 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. ADDITIONAL INFORMATION SCHEDULE O FORM 990, PART VI, LINE 15, COMPENSATION: ALL MANAGEMENT OFFICIALS AND OFFICERS OF THE BOARD OF TRUSTEES ARE UNPAID VOLUNTEERS. FORM 990, LINE F - 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.