2023-11-01T18:15:44-04:00 2022-12-31 205520612 L M HENDERSON & COMPANY LLP 450 E 96TH ST STE 200 INDIANAPOLIS IN 462403797 990 2022-01-01 356042362 INDIANAKENTUCKYOHIO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND INDI 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 MATT MCGRIFF CHAIRMAN/TRUSTEE 3177913500 2023-10-26 true TODD PANCAKE 999009999 false MICHELLE L ZIMMERMAN P00266120 3175661000 2023-10-31 2022 2023-04-26 12:10:37Z MATT MCGRIFF 700 TOWER DRIVE TROY MI 48098 215109221 false X N/A X 1960 IN PROVIDING HEALTH AND WELFARE BENEFITS 12 12 0 12 0 0 171003337 181005418 6581043 3392171 237047 353992 177821427 184751581 0 154496648 172582939 59728 56956 0 0 10710854 12184474 165267230 184824369 12554197 -72788 309000617 305189187 183536230 204431321 125464387 100757866 PROVIDING HEALTH AND WELFARE BENEFITS false false TO PROVIDE MEDICAL, DENTAL, DISABILITY, VISION, AND LIFE INSURANCE BENEFITS TO ELIGIBLE PARTICIPANTS. false false false false false false false false false false true 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 5 0 0 false false false false false false false false X 12 12 false true false false false false false true true false false true true true true false false false false false IN X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X DERRICK ANDERSON TRUSTEE 1.00 X 0 0 0 ANDY BINKLEY TRUSTEE 1.00 X 0 0 0 CHARLES DAVIS TRUSTEE 1.00 X 0 0 0 MIKE DUGAN TRUSTEE 1.00 X 0 0 0 JAMES HACKER TRUSTEE 1.00 X 0 0 0 JOHN HASSE TRUSTEE 1.00 X 0 0 0 WAYLON ISAACS TRUSTEE 1.00 X 0 0 0 MIKE KWIATKOWSKI TRUSTEE 1.00 X 0 0 0 MATT MCGRIFF CHAIRMAN/TRU 1.00 X 0 0 0 WILLIAM NIX CHAIRMAN/TRU 1.00 X 0 0 0 ANDY TROPP TRUSTEE 1.00 X 0 0 0 CAREY WEDDLE TRUSTEE 1.00 X 0 0 0 false false false ANTHEM INSURANCE COMPANIES 220 VIRGINIA STREET INDIANAPOLIS IN 46204 CLAIMS SUPPORT 4515704 EXPRESS SCRIPTS 1 EXPRESS WAY ST LOUIS MO 63121 RX ADMIN FEES 2250901 BENESYS INC 700 TOWER DRIVE STE 300 TROY MI 48098 GENERAL PLAN AD 2127140 AMERICAN HEALTH HOLDING 100 WEST OLD WILSON BRIDGE ROAD WORTHINGTON OH 43085 CLAIMS SUPPORT 959075 DELTA DENTAL 5875 CASTLE CREEK PARKWAY SUITE 191 INDIANAPOLIS IN 46250 CLAIMS PROCESSI 433388 12 EMPLOYER CONTRIBUTIONS 525100 161377255 161377255 EMPLOYEE CONTRIBUTIONS 525100 19628163 19628163 181005418 5791736 5791736 27958075 30357640 -2399565 -2399565 -2399565 SUBSIDY REFUNDS 900099 232684 232684 MISCELLANEOUS INCOME 121308 121308 353992 184751581 184751581 172582939 56956 256894 159149 589751 98169 434059 11467 55625 ADMIN/CONSULTING FEES 10512764 TRANSITIONAL REINSURANCE 56083 MISCELLANEOUS 10513 184824369 0 0 0 29545250 37450558 5189736 15255714 22693992 21578798 225278 1864861 237186650 213013125 14159711 16026131 309000617 305189187 15553931 20156255 167982299 184275066 183536230 204431321 X 125464387 100757866 125464387 100757866 309000617 305189187 -72788 -24633733 X false true X true false REAL ESTATE INVESTMENT TRUST 16026131 16026131 EST LIABILITY FOR FUTURE BENEFITS 162559066 EST CLAIMS INCURRED BUT NOT PAID 21716000 184275066 X 159528097 -24633733 -24633733 184161830 589751 589751 184751581 184234618 184234618 589751 589751 184824369 SCHEDULE D, PAGE 3, PART X THE TRUST ESTABLISHED UNDER THE FUND TO HOLD THE FUNDS ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (THE CODE), AND, ACCORDINGLY, THE TRUSTS NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE, AND THE FUND SPONSOR BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE FUND MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND 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. FUND MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; AND THERE IS A DOL OPERATIONS AUDIT IN PROGRESS. THE FUND IS SUBJECT TO INCOME TAX EXAMINATIONS BY THE TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE DATE THE TAX RETURNS ARE FILED. FORM 990, PART VI SECTION B, LINE 12C: THE BOARD OF TRUSTEES AND THE TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH RESPECT TO REGULARLY AND CONSISTENTLY MONITORING AND ENFORCING COMPLIANCE WITH THE CONFILCT OF INTEREST POLICY SECTION B, LINE 13: THE TRUST FUND DOES NOT RETAIN A WHISTLEBLOWER POLICY, BUT THE BOARD OF TRUSTEES AND TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH REGARDS TO THE POLICY. SECTION B, LINE, 14: THE TRUST FUND DOES NOT RETAIN A DOCUMENT RETENTION POLICY, BUT THE BOARD OF TRUSTEES AND TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH REGARD TO THE POLICY. FORM 990, PAGE 6, PART VI, LINE 3 THE BOARD OF TRUSTEES HAS OUTSOURCED THE DAY TO DAY ADMINISTRATION OF THE TRUST FUND TO BENESYS, INC. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED ANNUALLY BY THE CO-CHAIRMEN OF THE TRUSTEES AND IS AVAILABLE TO EACH TRUSTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD OF TRUSTEES AND THE TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH RESPECT TO REGULARLY AND CONSISTENTLY MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PAGE 6, PART VI, LINE 19 THE FUND DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. 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