2011-11-10T12:41:29-06:00 2010-12-31 CALIBRE CPA GROUP PLLC 1850 K STREET NW WASHINGTON DC 20006 990 2010-01-01 520904354 SEIU HEALTH AND WELFARE FUND SEIU 2027307500 11 DUPONT CIRCLE NW NO 900 WASHINGTON DC 200361202 ELISEO MEDINA 2027307000 2011-11-10 1 JOANN WOODSON 2023319880 2010 2016-03-07 17:11:31Z ELISEO MEDINA 1800 MASSACHUSETTS AVENUE NW WASHINGTON DC 20036 59983664 0 X N/A X 1969 DC THE SERVICE EMPLOYEES INTERNATIONAL UNION HEALTH AND WELFARE FUND IS A JOINTLY MANAGED TAFT-HARLEY, MULTI-EMPLOYER, COLLECTIVELY BARGAINED, SELF INSURED, AND INSURED HEALTH AND WELFARE PLAN. 5 5 0 0 0 0 0 0 22531535 21301143 775930 430777 9618 6058 23317083 21737978 0 0 20741510 18481141 0 0 0 0 0 1712196 2040854 22453706 20521995 863377 1215983 20785011 19334396 4095603 1476335 16689408 17858061 SEE SCHEDULE O 0 0 THE PLAN PROVIDED HEALTH, DENTAL, VISION, PRESCRIPTION DRUG, AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 4 0 1 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X ERICA WILLIAMS 2027307545 11 DUPONT CIRCLE STE 900 WASHINGTON DC 200361202 X ELISEO MEDINA 1.00 X 0 0 0 TOM BALANOFF 1.00 X 0 0 0 ERICK IRELAND 1.00 X 0 0 0 KEITH MESTRICH 1.00 X 0 0 0 DAVE MONROE 1.00 X 0 0 0 0 0 0 0 0 0 0 CIGNA HEALTH CARE 5089 COLLECTIONS CENTER DR CHICAGO IL 60693 ADMIN & ACCESS FEES 1018740 SEGAL COMPANY PO BOX 4059 WASHINGTON DC 10261 ACTUARY FEES 412721 2 EMPLOYER CONTRIBUTIONS 900099 20542560 20542560 EMPLOYEE CONTRIBUTIONS 900099 608647 608647 STOP LOSS REIMBURSEMEN 900099 149936 149936 21301143 384864 384864 38291599 38245686 45913 45913 45913 OTHER INCOME 900099 6058 6058 6058 21737978 21307201 0 430777 18481141 67886 27400 42831 1050922 38390 4102 103895 153 3125 18926 ADMINISTRATIVE SERVICES 656613 EQUIPMENT RENTAL AND MA 26526 TEMPORARY HELP 85 20521995 1669304 1668259 2277685 1519031 18192 18401 26333 21825 4424 4508 16681783 15898936 133623 225261 20785011 19334396 65910 109836 1672632 1242124 2357061 124375 4095603 1476335 X 16689408 17858061 16689408 17858061 20785011 19334396 X 1215983 -47330 X X 0 1 1 X 0 26333 21825 4508 4508 DUE TO RELATED PARTIES 11060 HEALTH REIMBURSEMENT ACCOUNTS 112436 DEFERRED RENT 879 124375 21737978 20521995 1215983 -47330 -47330 1168653 21647817 -47330 -47330 21695147 42831 42831 21737978 20479164 0 20479164 42831 42831 20521995 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY THE FIRM'S INDEPENDENT ACCOUNTANT. PRIOR TO FILING, THE FORM 990 IS EMAILED TO ALL UNION AND EMPLOYER TRUSTEES IN PDF FORMAT FOR THEIR REVIEW AND COMMENT. THE FORM 990 IS THEN SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12 THE FUND DOES NOT HAVE THESE POLICIES. HOWEVER, ITS OFFICERS ARE COVERED UNDER SERVICE EMPLOYEES INTERNATIONAL UNION POLICIES, SUCH AS THE CODE OF ETHICS, CONFLICT OF INTEREST, AND WHISTLEBLOWER PROTECTION POLICIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -47,330. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.