2023-02-28T12:59:05-06:00 2022-09-30 MILLER KAPLAN ARASE LLP 275 BATTERY ST STE 1800 SAN FRANCISCO CA 941113346 990 2021-10-01 776009955 California's Valued Trust % ROBERT POWERS CALI 5594372960 520 E Herndon Ave Fresno CA 93720 VALERIE CORNUELLE Executive Director 5594372960 2023-02-21 true VALERIE CORNUELLE 999009999 Macgregor Waite P02007191 4159563600 3 2021 2023-04-26 12:10:37Z Valerie Cornuelle 520 E Herndon Ave Fresno CA 93720 785121813 false X www.cvtrust.org X 1984 CA TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES, RETIREES AND THEIR DEPENDENTS. 11 7 41 0 0 0 0 0 816655719 767154321 14659155 7850158 581487 580127 831896361 775584606 0 0 787844013 715070519 4998525 4877185 0 0 0 32270897 33591994 825113435 753539698 6782926 22044908 240041607 240185223 77865346 88806247 162176261 151378976 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES, RETIREES AND THEIR DEPENDENTS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES, RETIREES AND THEIR DEPENDENTS. false 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 true false false false false false false false false false false false true false false true 17 0 true 41 true false false false false false false false false X 11 7 false false false false false false false true true false false true true true true true true true true false X ROBERT POWERS 5594372960 520 E HERNDON AVE Fresno CA 93720 Valerie Cornuelle Executive Director 40.0 0.0 X 250817 0 40731 Robert Powers Dir. of Financial Services 40.0 0.0 X 166233 0 34387 JEFF CORNELIUS DIR. OF STRATEGIC INITIATIVES 40.0 0.0 X 136382 0 32149 TIERNEY O'BRIEN DIR OF MARKETING & BUS DEV 40.0 0.0 X 128790 0 31579 BROOK PAULSEN IT MANAGER 40.0 0.0 X 122153 0 31081 NOLAN CLINARD Business Analyst 40.0 0.0 X 115328 0 30570 BRETT CARGLE SR SYSTEMS SECURITY ANALYST 40.0 0.0 X 115328 0 30570 Chad Wood Director 4.0 0.0 X 191 0 0 Elaine Cash Director 4.0 0.0 X 191 0 0 Nancy Smith Director 4.0 0.0 X 191 0 0 John Pestorich Director 4.0 0.0 X 191 0 0 Debra Cole Director 4.0 0.0 X 191 0 0 Anthony Parreira Director 4.0 0.0 X 191 0 0 Keith Pace Director 4.0 0.0 X 191 0 0 Wayne Harris Director 4.0 0.0 X 175 0 0 Sue Eustice Director (Former) 4.0 0.0 X 16 0 0 Carole Anne Luckenbach Director 4.0 0.0 X 0 0 0 Ken Johnson Director 4.0 0.0 X 0 0 0 Daryl Hemenway Director 4.0 0.0 X 0 0 0 1036559 0 231067 15 false true false Anthem Blue Cross 11050 Olson Dr Ste 110 RANCHO CORDOVA CA 95670 claims admin service 16529102 Delta Dental 100 First St 6th Fl SAN FRANCISCO CA 94105 Claims admin service 3424626 BLUE SHIELD OF CALIFORNIA ASO 50 BEALE ST SAN FRANCISCO CA 94105 CLAIMS ADMIN SERVICE 2177715 PRUDENTRX 3820 NORTHDALE BLVD STE 311-A TAMPA FL 33624 ADMIN SERVICE 1615242 CVS 1 CVS DRIVE WOONSOCKET RI 02895 ADMIN SERVICE 1053761 20 0 EMPLOYER CONTRIBUTIONS 900099 736926097 736926097 PARTICIPANT CONTRIBUTIONS 900099 30228224 30228224 767154321 6930389 6930389 0 0 0 0 0 10456976 9537207 919769 919769 919769 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE SERVICES 900099 106022 106022 OTHER INCOME 900099 474105 474105 580127 775584606 767734448 7850158 0 0 0 715070519 493696 0 3433965 239107 413434 296983 0 244539 161564 0 0 170650 31045844 254909 575502 241534 0 126688 139368 0 81779 0 0 166113 169714 ACA FEES 213790 753539698 119 310 8528978 33911733 0 0 24476242 22367588 0 0 0 0 0 0 0 0 267242 265654 6283428 4430530 1921271 1852898 204847755 181787040 0 0 0 0 0 0 0 0 240041607 240185223 1492147 1626515 0 0 7101911 7199621 0 0 0 0 0 0 0 0 0 0 69271288 79980111 77865346 88806247 X 0 0 0 0 162176261 151378976 162176261 151378976 240041607 240185223 22044908 -32842193 X false true X true 1012000 1012000 1768377 1112371 656006 29443 29443 3473608 3288716 184892 1852898 0 NOT PAID 75604583 POSTRETIREMENT BENEFIT COST 2248700 OTHERS 2126828 79980111 X 742571763 -32842193 -32842193 775413956 170650 170650 775584606 742363485 742363485 170650 11005563 11176213 753539698 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 $11,005,563 X false false false Valerie Cornuelle Executive Director 250817 0 0 0 0 0 18811 0 21920 0 291548 0 Robert Powers Dir. of Financial Services 166233 0 0 0 0 0 12467 0 21920 0 200620 0 BROOK PAULSEN IT MANAGER 122153 0 0 0 0 0 9161 0 21920 0 153234 0 JEFF CORNELIUS DIR. OF STRATEGIC INITIATIVES 136382 0 0 0 0 0 10229 0 21920 0 168531 0 TIERNEY O'BRIEN DIR OF MARKETING & BUS DEV 128790 0 0 0 0 0 9659 0 21920 0 160369 0 PART VI, SECTION B, LINE 11B: A COPY OF THE FORM 990 WAS PROVIDED TO THE PLAN'S GOVERNING BODY PRIOR TO BEING FILED AND WAS REVIEWED BY THE PLAN'S AUDIT COMMITTEE AND THE DIRECTOR OF FINANCIAL SERVICES BEFORE IT WAS FILED. PART VI, SECTION B, LINE 12C: AT LEAST ANNUALLY, DIRECTORS AND OTHER FIDUCIARIES ARE ASKED TO DISCLOSE ANY RELATIONSHIPS OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. IF THERE IS A CONFLICT OF INTEREST, THE CONFLICTING INTEREST IS FULLY DISCLOSED AND DOCUMENTED IN WRITING. THE DIRECTOR OR FIDUCIARY WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS; THE BOARD DETERMINES IF THE TRANSACTION IS IN THE BEST INTEREST OF THE PLAN, AND THE TERMS OF THE TRANSACTION ARE FAIR WITH RESPECT TO TERMS AVAILABLE THROUGH ARMS-LENGTH TRANSACTIONS IN THE MARKETPLACE. PART VI, SECTION B, LINE 15: COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS APPROVED BY THE BOARD OF TRUSTEES. PART VI, SECTION C, LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII, SECTION A, COLUMN E: ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM THE RELATED TAX-EXEMPT ORGANIZATIONS ARE AVAILABLE AT THE TRUST. PART XII, LINE 2C: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF BOTH THE AUDIT AND THE SELECTION OF THE CERTIFIED PUBLIC ACCOUNTANTS THAT AUDIT THE PLAN'S FINANCIAL STATEMENTS. THE FULL BOARD ANNUALLY APPROVES THE AUDIT AND ANY CHANGE TO THE CERTIFIED PUBLIC ACCOUNTANTS. SEE PART VII SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false false false false true SCHEDULE R, PART II: THE LIST OF CONTRIBUTING EMPLOYERS IS MAINTAINED BY THE ADMINISTRATIVE OFFICE.