2025-04-12T15:15:39-05:00 2024-06-30 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2023-07-01 060683942 IUPAT DISTRICT COUNCIL NO 11 HEALTH FUND IUPA 8665995611 PO BOX 727 MERIDEN CT 06450 JASON WERTHMAN TRUSTEE 8665995611 2025-04-12 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2025-04-12 2023 2025-03-06 01:10:19Z JASON WERTHMAN PO BOX 727 MERIDEN CT 06450 45123523 0 X N/A X 1950 CT TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 7 3 0 0 0 0 0 0 15847927 14437671 750117 2449955 1158266 552452 17756310 17440078 0 0 15284282 15010228 0 0 0 0 0 1368034 1451801 16652316 16462029 1103994 978049 39885458 42141432 2605230 2755331 37280228 39386101 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 0 0 TO PROVIDE VARIOUS FORMS OF HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND BENEFICIARIES OF THIS FUND. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 X SOLXSYS ADMINISTRATIVE SOLUTIONS LLC 8665995611 PO BOX 727 MERIDEN CT 06450 MARK VERITY TRUSTEE 2.00 45.00 X 0 152882 69453 JUSTIN KELLEY TRUSTEE 2.00 45.00 X 0 152882 59223 JASON WERTHMAN TRUSTEE/CO-CHAIR 2.00 45.00 X 0 200599 71949 MALCOLM MACKENZIE TRUSTEE/CO-CHAIR 2.00 X 0 0 0 ANDREW F MELE TRUSTEE 2.00 X 0 0 0 PAUL CARAMANICA TRUSTEE 2.00 X 0 0 0 JOSEPH FAZZINO TRUSTEE 2.00 45.00 X 0 136942 67301 0 643305 267926 0 0 1 0 ZENITH AMERICAN SOLUTIONS INC 8 FAIRFIELD BLVD SUITE 105 WALLINGFORD CT 06492 THIRD PARTY ADMIN. 489172 ANTHEM BCBS 108 LEIGUS RD WALLINGFORD CT 06492 PPO 340458 ANCHOR CAPITAL ADVISORS LLC ONE POST OFFICE SQUARE BOSTON MA 02109 INVESTMENT MANAGEMENT 182929 3 EMPLOYER CONTRIBUTIONS 525100 13749912 13749912 SELF-PAY CONTRIBUTIONS 525100 687759 687759 14437671 1131996 1131996 29001404 27683445 1317959 1317959 1317959 PRESCRIPTION REBATE 525100 512744 512744 STOP LOSS REIMBURSEMENT 525100 39708 39708 552452 17440078 14990123 0 2449955 15010228 69300 40620 274059 1011902 8178 2104 9701 DUES ASSESSMENT 14270 MEMBERSHIP DUES 12675 PCORI FEE 8992 16462029 3398005 2860269 3381651 2506415 33105802 36774748 39885458 42141432 87983 92655 137747 100876 2379500 2561800 2605230 2755331 X 0 0 0 0 37280228 39386101 37280228 39386101 39885458 42141432 978049 1127824 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE & IBNR 2561800 2561800 X 17741391 1127824 1127824 16613567 274059 552452 826511 17440078 15453218 -552452 -552452 16005670 274059 182300 456359 16462029 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: PRESCRIPTION REIMBURSEMENTS 512,744. STOP LOSS 39,708. PART XII, LINE 2D - OTHER ADJUSTMENTS: PRESCRIPTION REIMBURSEMENTS -512,744. STOP LOSS -39,708. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION 182,300. X 0 0 0 JASON WERTHMAN TRUSTEE/CO-CHAIR 0 200599 0 0 0 0 0 57867 0 14082 0 272548 0 0 MARK VERITY TRUSTEE 0 152882 0 0 0 0 0 51411 0 18042 0 222335 0 0 JUSTIN KELLEY TRUSTEE 0 152882 0 0 0 0 0 51411 0 7812 0 212105 0 0 JOSEPH FAZZINO TRUSTEE 0 136942 0 0 0 0 0 49259 0 18042 0 204243 0 0 FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE FORM 990 WAS REVIEWED BY THE TRUSTEE SIGNING THE RETURN, LEGAL COUNSEL, AND TPA PRIOR TO FILING THE RETURN. FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY VIA PAPER COPY OR EMAIL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, INSTRUMENTS UNDER WHICH THE ORGANIZATION IS OPERATED OR ESTABLISHED, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, TO PARTICIPANTS, EMPLOYERS AND OTHERS IN ACCORDANCE WITH THE PROVISIONS OF ERISA, BUT ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 2C: THE GOVERNING BODY IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT. NO CHANGE FROM PRIOR YEAR. 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