2024-05-15T14:32:19-05:00 2023-06-30 MILLER KAPLAN ARASE LLP 2101 4TH AVE STE 1830 SEATTLE WA 981212345 990 2022-07-01 201842198 SEIU Healthcare NW Health Benefits Trust Plan % CLARK NUBER PS SEIU 2062547120 215 Columbia Ste 300 SEATTLE WA 98104 MERISSA CLYDE CEO 4254544919 2024-05-13 true MERISSA CLYDE 999009999 Catalina Kirby P02018896 2065963930 2022 2023-04-26 12:10:37Z MERISSA CLYDE 215 Columbia Ste 300 SEATTLE WA 98104 531359424 false X wWw.myseiubenefits.org X 2004 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 0 0 0 0 0 305449897 331690658 8531424 -21121566 0 990 313981321 310570082 0 0 239484735 321657002 0 0 0 0 0 34099611 16348749 273584346 338005751 40396975 -27435669 366303429 425803449 30385410 84877687 335918019 340925762 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false false false false false false false true false false false true 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 true false false true 10 0 true 0 false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true false X CLARK NUBER PS 4254544919 10900 NE 4TH ST 1400 Bellevue WA 98004 X Adam Glickman TRUSTEE 1.0 0.0 X 0 0 0 Brittany Williams TRUSTEE 1.0 0.0 X 0 0 0 Shaine Truscott TRUSTEE 1.0 0.0 X 0 0 0 Sterling Harders Chair 1.0 0.0 X X 0 0 0 Tangie Webb TRUSTEE 1.0 0.0 X 0 0 0 Eric Erickson TRUSTEE 1.0 0.0 X 0 0 0 Mark Robinson SECRETARY 1.0 0.0 X X 0 0 0 Steven Hill TRUSTEE 1.0 0.0 X 0 0 0 LOU MCDERMOTT VICE CHAIR 1.0 0.0 X X 0 0 0 AILEEN PICK TRUSTEE 1.0 0.0 X 0 0 0 DANIELLE RICE TRUSTEE 1.0 0.0 X 0 0 0 GINA DENTON TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false KAISER OF WASHINGTON 601 UNION ST STE 3100 SEATTLE WA 98101 CLAIMS PROCESSING 14193207 SEIU BENEFITS GROUP 215 COLUMBIA ST SEATTLE WA 98104 ADMINISTRATION 8727400 MAGNACARE 11600 STEWART AVE STE 200 WESTBURY WA 11590 ADMINISTRATION 6160545 DELTA DENTAL PO BOX 741301 LOS ANGELES CA 90074 CLAIMS PROCESSING 677829 AETNA PO BOX 88863 CHICAGO IL 60695 CLAIMS PROCESSING 1587815 5 0 EMPLOYER CONTRIBUTIONS 525100 314614799 314614799 0 0 EMPLOYEE CONTRIBUTTIONS 525100 17075859 17075859 0 0 331690658 11593444 0 0 11593444 0 0 0 0 0 188074332 220789342 -32715010 -32715010 -32715010 0 0 0 0 0 0 0 0 0 MISCELLLANEOUS REVENUE 990 990 0 0 990 310570082 331691648 0 -21121566 0 0 0 321657002 0 0 0 0 0 0 6160545 48434 0 0 0 53000 9314113 0 226685 432951 0 0 0 0 28228 0 0 4571 0 ACA TAXES 80222 338005751 958190 1751961 49597196 46542145 0 0 28680395 28632340 0 0 0 0 0 0 0 0 176273 162839 36570 10252 30889 26318 284914988 346766846 0 0 0 0 0 0 1945498 1921000 366303429 425803449 1897218 865211 0 0 0 446475 0 0 0 0 0 0 0 0 0 0 28488192 83566001 30385410 84877687 X 0 0 0 0 335918019 340925762 335918019 340925762 366303429 425803449 -27435669 32443412 X false true X true 36570 10252 26318 26318 0 BENEFIT OBLIGATIONS 81844109 DUE TO RELATED PARTY SEIU BG 1721892 83566001 X 343013494 32443412 32443412 310570082 310570082 284649834 284649834 53355917 53355917 338005751 PART X, LINE 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. PART XII, LINE 4B: CHANGE IN BENEFIT OBLIGATIONS. Form 990, Part VI, Section B, line 11b DRAFT COPIES OF THE PLAN'S FORM 990 WERE PROVIDED TO MANAGEMENT OF THE PLAN WHO REVIEWED THE FORM 990 FOR ACCURACY AND COMPLETENESS. ANY QUESTIONS, CONCERNS, OR ISSUES RAISED BY MANAGEMENT WERE ADDRESSED, AND ANY NECESSARY REVISIONS WERE MADE TO THE FORM 990 PRIOR TO FILING. Form 990, Part VI, Section B, line 12c THE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, IN WRITING, TO ALL OTHER TRUSTEES AND LEGAL COUNSEL. TRUSTEES MUST RECUSE THEMSELVES FROM MATTERS IN WHICH THEY HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. Form 990, Part VI, Section C, line 19 The Trust's governing documents, conflict of interest policy, financial statements, and Form 990 are available to the general public upon written request sent to the organization at: 215 Columbia St Ste 300, Seattle, WA 98104. Form 990, Part VII, Section A, Line 1A THE BOARD OF TRUSTEES SERVE WITHOUT COMPENSATION. CERTAIN TRUSTEES LISTED IN PART VII MAY ALSO SERVE AS OFFICERS OF AFFILIATED ORGANIZATIONS. THESE TRUSTEES MAY RECEIVE COMPENSATION FROM SUCH AFFILIATED ORGANIZATIONS. THE PLAN DOES NOT MAINTAIN THE INFORMATION ON COMOPENSATION FROM AFFILIATED ORGANIZATION BUT BELIEVE THAT SUCH COMPENSATION, IF ANY, IS APPROPRIATELY REPORTED ON THE RETURNS OF THOSE ORGANIZATIONS. SEIU Healthcare 775NW 215 Columbia St STE 300 SEATTLE WA 98104 810588837 UNION WA 501(c)(5) NA false SEIU 775 Benefits Group 215 Columbia St Ste 300 Seattle WA 98104 852581812 ADMIN. WA 501(c)(3) LINE 2 NA false SEE PART VII - SUPPLEMENTAL INFORMATION NA SEE PART VII - SUPPLEMENTAL INFORMATION na SEE PART VII - SUPPLEMENTAL INFORMATION na false false false false false false false false false false false false false true true true true true true SEIU Healthcare 775NW S 3009811 Cost SEIU 775 Benefits Group N,O,P 4939859 cost PARTS II, III AND IV - IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP, CORPORATION OR TRUST: THE ADMINISTRATIVE OFFICE DOES NOT MAINTAIN THIS INFORMATION FOR THE TRUST'S CONTRIBUTING EMPLOYERS. PLEASE CONTACT THE ADMINISTRATIVE OFFICE IF YOU HAVE ANY QUESTIONS.