2024-04-29T14:48:39-05:00 2023-06-30 208149084 ANASTASI MOORE & MARTIN PLLC 9 S WASHINGTON ST STE 600 SPOKANE WA 99201 990 2022-07-01 920174160 ASEAAFSCME LOCAL 52 HEALTH BENEFITS TRUST ASEA 5093280300 201 WEST NORTH RIVER DRIVE 450 SPOKANE WA 99201 JODI ANDRES CHAIRMAN 5093280300 2024-04-29 1 JODI ANDRES 999009999 1 PAUL J ANASTASI CPA P00395796 5093230272 2024-04-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X JODI ANDRES 201 WEST NORTH RIVER DRIVE 450 SPOKANE WA 99201 314308685 0 X WWW.ASEAHEALTH.ORG X 2000 AK TO PROVIDE HEALTH BENEFITS TO QUALIFIED PARTICIPANTS 7 7 0 8 0 0 0 0 167913678 165006661 26355167 20479891 0 0 194268845 185486552 0 0 168693399 171815886 0 0 0 0 0 3629006 3337191 172322405 175153077 21946440 10333475 244698282 260204148 26903816 27422285 217794466 232781863 TO PROVIDE HEALTH BENEFITS TO QUALIFIED PARTICIPANTS 0 0 EMPLOYEE WELFARE BENEFIT PLAN 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 0 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 7 1 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X X ZENITH AMERICAN SOLUTIONS INC 5095345625 201 WEST NORTH RIVER DRIVE SUITE SPOKANE WA 99201 X SHAWN STAKER CHAIRMAN 1.00 X X 0 0 0 CHELSEA SIEH SECRETARY 1.00 X X 0 0 0 MICHAEL WILLIAMS BOARD MEMBER EMERITUS 1.00 X 0 0 0 BRITTANY STAKER TRUSTEE 1.00 X 0 0 0 CHARISSE MILLETT TRUSTEE 1.00 X 0 0 0 JODI ANDRES TRUSTEE 1.00 X 0 0 0 RICHARD SEWELL TRUSTEE 1.00 X 0 0 0 ANDREW HILLS TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS INC 201 WEST NORTH RIVER DRIVE SUITE 4 SPOKANE WA 99201 ADMINISTRATION 3059802 AETNA 151 FARMINGTON AVENUE HARTFORD CT 06156 HEALTHCARE MGMT 2284162 HEALTH CARE COST MANAGEMENT CORPORATION 3000 A STREET SUITE 300 ANCHORAGE AK 99503 HEALTH COST MGMT 887789 OPTUMHEALTH CARE SOLUTIONS LLC 11000 OPTUM CIRCLE EDEN PRAIRIE MN 55344 HEALTHCARE MGMT 753595 PARKER SMITH & FEEK 2233 112TH AVE NE BELLEVUE WA 98004 BENEFITS CONSULTING 302465 18 EMPLOYER CONTRIBUTIONS 900099 144231120 144231120 EMPLOYEE CONTRIBUTIONS 900099 20775541 20775541 165006661 6882792 6882792 142419232 128822133 13597099 13597099 13597099 185486552 165006661 0 20479891 171815886 321349 102801 25895 1097813 1151591 272066 49018 72588 WEBSITE MAINTENANCE 62155 PRIVACY AND SECURITY 54000 COMMUNICATIONS SPECIALI 39547 PCORI FEES 38388 49980 175153077 14056735 7808456 3872723 4130273 226768824 248265419 244698282 260204148 819202 974755 26084614 26447530 26903816 27422285 X 0 0 0 0 217794466 232781863 217794466 232781863 244698282 260204148 X 10333475 4790282 -136360 X 0 1 X 0 0 0 BENEFIT OBLIGATIONS 25170447 CHECKS WRITTEN IN EXCESS OF DEPOSITS 1277083 26447530 X 189179021 4790282 4790282 184388739 1097813 1097813 185486552 174055264 0 174055264 1097813 1097813 175153077 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS QUALIFIED UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED FOR THE YEARS ENDED JUNE 30, 2023 OR 2022, FOR UNRELATED BUSINESS TAXABLE INCOME. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEREFORE, THEY BELIEVE THAT THE PLAN IS QUALIFIED AND THE RELATED TRUST IS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS 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 (IRS). THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF THE LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, AND THE PLAN COULD BE SUBJECT TO INCOME TAX IF CERTAIN ISSUES WERE FOUND BY THE IRS THAT COULD RESULT IN THE DISQUALIFICATION OF THE PLAN'S TAX-EXEMPT STATUS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 2 TWO BOARD MEMBERS, SHAWN STAKER AND BRITTANY STAKER, ARE MARRIED. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF TRUSTEES HAS HIRED A PROFESSIONAL ADMINISTRATION COMPANY TO OPERATE THE TRUST ON A DAY TO DAY BASIS. THE BOARD OF TRUSTEES RETAINS ULTIMATE RESPONSIBILITY FOR THE ACTIONS OF THE PROFESSIONAL ADMINISTRATORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS ARE PROVIDED TO PARTICIPANTS OF THE PLAN UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN BENEFIT OBLIGATIONS -136,360. STATE OF ALASKA DEPARTMENT OF ADMINISTRATION P O BOX 110204 JUNEAU AK 99811 926001185 STATE GOVERNMENTAL ENTITY AK GOVERNMENTAL ENTITY NONE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1