2024-11-05T15:27:50-06:00 2023-12-31 750786316 WEAVER AND TIDWELL LLP 6720-A ROCKLEDGE DRIVE SUITE 510 BETHESDA MD 20817 990 2023-01-01 477358956 NYSUT MEMBER BENEFITS CATASTROPHE MAJOR MEDICAL INSURANCE TRUST NEWY 5182136000 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 J PHILIPPE ABRAHAM TRUSTEE 5182136000 2024-11-05 1 0 GARY T BRUNICK JR P01715767 2402001400 2023 2024-10-15 13:58:12Z J PHILIPPE ABRAHAM 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 104430974 0 X N/A X 2015 NY THE CATASTROPHE MAJOR MEDICAL PLAN ("CMM PLAN") WAS FORMED UNDER TRUST TO PROVIDE SUPPLEMENTAL (EXCESS MAJOR MEDICAL BENEFITS) HEALTH INSURANCE TO THE NYSUT MEMBERSHIP WHO VOLUNTARILY PARTICIPATE. 7 5 0 0 0 0 0 0 38367427 37296104 4781512 3452706 0 0 43148939 40748810 0 0 18805696 21320776 0 0 0 0 0 7153054 6848098 25958750 28168874 17190189 12579936 159504251 184862048 2426676 3302493 157077575 181559555 THE CATASTROPHE MAJOR MEDICAL PLAN ("CMM PLAN") WAS FORMED UNDER TRUST TO PROVIDE SUPPLEMENTAL (EXCESS MAJOR MEDICAL BENEFITS) HEALTH INSURANCE TO THE NYSUT MEMBERSHIP WHO VOLUNTARILY PARTICIPATE. 0 0 SUPPLEMENTED BASIC HOSPITALIZATION AND MAJOR MEDICAL INSURANCE AND LONG TERM CARE. FOR THE YEAR ENDING 12/31/23, THERE WERE, ON AVERAGE, 89,445 COVERED LIVES, AND 53,711 POLICIES. 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 2 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JACLYN FERRUCCI 5182136000 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 ABRAHAM J PHILIPPE CHAIRPERSON/TRUSTEE 1.00 X X 0 163978 101726 BUSHEY MICHELE TRUSTEE 1.00 X 0 16418 0 FRANZ LAURA TRUSTEE 1.00 X 0 35236 0 CARNER-SHAFRAN SANDRA TRUSTEE 1.00 X 0 8716 0 SHERMAN RODERICK TRUSTEE 1.00 X 0 2705 0 SILL MICHAEL TRUSTEE 1.00 X 0 16418 0 MCCREA GREGORY J SECRETARY 1.00 X X 0 181761 112741 PORTER BETSY L MANAGER, MEMBER BENEFITS 9.00 X 0 175792 114581 LACHAPELLE GINGER DIRECTOR OF MEMBER BENEFITS 9.00 X 0 157936 90644 CLEMENT DEREK S ASST IN MEMBER BENEFITS 3.00 X 0 168758 109952 FELLOWS DEBRA L ASST MGR. IN MEMBER BENEFI 9.00 X 0 140371 75626 FERRUCCI JACLYN L DEPUTY DIRECTOR FINANCE 1.00 X 0 191252 119379 LOCKWOOD JEFFREY J CFO, DIRECTOR OF FINANCE 1.00 X 0 229683 132096 TRAVINSKI MICHAEL S ASSOC GENERAL COUNSEL 1.00 X 0 211012 132295 0 1700036 989040 0 0 1 1 HEALTHSMART BENEFIT SOLUTIONS 222 WEST LAS COLINAS BLVD SUITE 50 IRVING TX 75039 THIRD PARTY CLAIMS PROCESSOR/ADMINISTRAT 2277904 AMBA ADMINISTRATORS INC 4050 NW 114TH STREET URBANDALE IA 50322 THIRD PARTY CLAIMS PROCESSOR, RECORDKEEP 1907755 STACEY BRAUN ASSOCIATES INC 377 BROADWAY STREET 8TH FLOOR NEW YORK NY 10013 INVESTMENT ADVISORY/MANAGEMENT 556616 3 PARTICIPANT CONTRIBUTIONS 524292 37296104 37296104 37296104 3643336 3643336 63491534 63682164 -190630 -190630 -190630 40748810 37296104 0 3452706 X 21320776 25451 64176 532059 4564898 471339 43239 ADMINISTRATIVE SERVICE 867375 PCORI FEE 279561 28168874 207460 18218 18684311 10528933 5112894 5368924 135499586 168945973 159504251 184862048 884793 1420290 1541883 1547701 0 334502 2426676 3302493 X 0 0 0 0 157077575 181559555 157077575 181559555 159504251 184862048 12579936 11902044 0 X 0 1 X 0 0 0 DUE TO MBT 334502 334502 X 52118795 11902044 11902044 40216751 532059 532059 40748810 27636815 0 27636815 532059 532059 28168874 PART X, LINE 2: US GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN 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. 0 0 0 LOCKWOOD JEFFREY J CFO, DIRECTOR OF FINANCE 0 229683 0 0 0 0 0 65094 0 67002 0 361779 0 0 TRAVINSKI MICHAEL S ASSOC GENERAL COUNSEL 0 155545 0 0 0 55467 0 86176 0 46119 0 343307 0 0 FERRUCCI JACLYN L DEPUTY DIRECTOR FINANCE 0 191252 0 0 0 0 0 53038 0 66341 0 310631 0 0 MCCREA GREGORY J SECRETARY 0 181761 0 0 0 0 0 47927 0 64814 0 294502 0 0 PORTER BETSY L MANAGER, MEMBER BENEFITS 0 175792 0 0 0 0 0 49863 0 64718 0 290373 0 0 CLEMENT DEREK S ASST IN MEMBER BENEFITS 0 168758 0 0 0 0 0 44675 0 65277 0 278710 0 0 ABRAHAM J PHILIPPE CHAIRPERSON/TRUSTEE 0 143438 0 0 0 20540 0 43800 0 57926 0 265704 0 0 LACHAPELLE GINGER DIRECTOR OF MEMBER BENEFITS 0 140643 0 0 0 17293 0 41144 0 49500 0 248580 0 0 FELLOWS DEBRA L ASST MGR. IN MEMBER BENEFI 0 140371 0 0 0 0 0 36599 0 39027 0 215997 0 0 990 SCHEDULE J, PART II, J. PHILIPPE ABRAHAM THIS OFFICER WAS UNDER A COMPENSATION ARRANGEMENT FOR 2023 WHERE A RELATED ORGANIZATION TO THE FILING ORGANIZATION PAYS SOME OF THIS OFFICER'S COMPENSATION AND AN UNRELATED ORGANIZATION (UNITED UNIVERSITY PROFESSIONS) PAYS THE REMAINDER OF THE COMPENSATION. FOR 2023, THE AMOUNT PAID TO J. PHILIPPE ABRAHAM BY UNITED UNIVERSITY PROFESSIONS TOTALED $171,095, WHICH INCLUDES WAGES, RETIREMENT AND NONTAXABLE BENEFITS. FORM 990, PART VI, SECTION B, LINE 11B THE FINAL DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPOINTS A CONFLICT OF INTEREST OFFICER. THE CONFLICT OF INTEREST OFFICER'S RESPONSIBILITIES ARE TO MONITOR THE IMPLEMENTATION OF THE CONFLICT OF INTEREST POLICY AND, RECOMMEND TO THE OVERSIGHT COMMITTEE, SUCH MODIFICATIONS IN THE POLICY AS THEY MAY FROM TIME TO TIME DEEM APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THIS ORGANIZATION, AND ALL ITS RELATED ORGANIZATIONS, DETERMINES COMPENSATION OF ALL ITS OFFICERS AND KEY EMPLOYEES ANNUALLY EITHER BY A) COMPLIANCE WITH COLLECTIVE BARGAINING AGREEMENTS FOR INDIVIDUALS COVERED BY THE CBAS OR B) THE BOARD OF DIRECTORS OF THE PARENT ORGANIZATION, NEW YORK STATE UNITED TEACHERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE FORM 5500 FILED WITH THE EMPLOYEE BENEFIT SECURITY ADMINISTRATION (US DEPARTMENT OF LABOR) IS MADE AVAILABLE TO PLAN PARTICIPANTS. FORM 990, PART IX, LINE 11G ADMINISTRATIVE FEES 1,976,783. CLAIMS FEES 2,517,182. CONSULTING 70,933. MARY MULDOON FUND 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 146030191 PRIVATE FOUNDATION NY 501(C)(3) PF N/A 0 NEW YORK STATE UNITED TEACHERS 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 141584772 LABOR ORGANIZATION NY 501(C)(5) N/A 0 NYSUT BUILDING CORP 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 141700200 BUILDING CORPORATION NY 501(C)(2) NEW YORK STATE UNITED TEACHERS 0 NYSUT DISASTER RELIEF AND SCHOLARSHIP FUND 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 113761261 PROVIDES DISASTER RELIEF AND SCHOLARSHIPS NY 501(C)(3) LINE 7 N/A 0 NYSUT EDUCATION AND LEARNING TRUST 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 166460576 OFFERS COURSES TO PROMOTE EFFECTIVE TEACHING NY 501(C)(3) LINE 7 N/A 0 NYSUT EMPLOYEES RETIREMENT FUND PLAN #001 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 141584772 NYSUT EMPLOYEE BENEFIT PLAN NY 501(A) N/A 0 NYSUT MEMBER BENEFITS TRUST 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 222480854 BENEFIT PLAN NY 501(C)(5) N/A 0 NYSUT RETIREE VEBA HEALTH FUND 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 146204878 BENEFIT PLAN NY 501(C)(9) N/A 0 NYSUT STAFF 401K PLAN #002 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 141584772 NYSUT EMPLOYEE BENEFIT PLAN NY 501(A) N/A 0 NYSUT VOTECOPE FEDERAL 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 264047277 POLITICAL COMMITTEE NY 527 N/A 0 NYSUT VOTECOPE STATE 800 TROY-SCHENECTADY ROAD LATHAM NY 121102455 141565672 POLITICAL COMMITTEE NY 527 N/A 0 NYSUT MEMBER BENEFITS CORPORATION 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 263989358 MEMBER PROGRAM DISCOUNTS NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0