2022-05-11T18:51:30-05:00 2021-06-30 931015766 BJORKLUND & MONTPLAISIR CPA'S 10300 SW GREENBURG ROAD STE 470 PORTLAND OR 97223 990 2020-07-01 916035786 NORTHWEST INSULATION WORKERS WELFARE TRUST NORT PO BOX 34203 SEATTLE WA 981241203 RIAN DAVIS CHAIRMAN 2022-04-13 true KENNETH GRITTER 999009999 RICHARD A LAYNE P00359754 5036436400 2022-05-11 2020 2022-09-23 18:48:47Z RIAN DAVIS 27753610 false X X 1952 WA TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS OF THE PLAN 8 8 1 0 0 8356582 8393101 684338 1150567 77842 143851 9118762 9687519 0 7451848 6697314 0 0 0 631498 574646 8083346 7271960 1035416 2415559 24678601 27184053 4125261 3718792 20553340 23465261 X TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS OF THE PLAN false false DISBURSEMENTS USED TO PROVIDE HEALTH & WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. DISBURSEMENTS USED TO PROVIDE HEALTH & WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. false false false false false false false false false false false false false true false 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 13 0 1 true false false false false false false false false X 8 8 false true false false false false false true true false false false true true true true true true true false X X WELFARE & PENSION ADMIN SVCS INC 2064417574 PO BOX 34203 SEATTLE WA 98124 X MONTY ANDERSON TRUSTEE 1.00 X 0 0 0 RIAN DAVIS CHAIRMAN 1.00 X X 0 0 0 BRITT FREEL TRUSTEE 1.00 X 0 0 0 JOHN HERNANDEZ TRUSTEE 1.00 X 0 0 0 RORY HOMES TRUSTEE 1.00 X 0 0 0 TODD MITCHELL SECRETARY 1.00 X X 0 0 0 TERRY G PHILLEY TRUSTEE 1.00 X 0 0 0 SONNY SANDRETTO TRUSTEE 1.00 X 0 0 0 false false false WELFARE & PENSION ADMIN SERVICES 2815 2ND AVE SUITE 300 SEATTLE WA 98121 ADMINISTRATION 211611 AETNA 151 FARMINGTON AVENUE HARTFORD CT 06156 PPO NETWORK FEE 170412 2 EMPLOYER CONTRIB. 525100 8001232 8001232 EMPLOYEE CONTRIB. 525100 391869 391869 8393101 537056 537056 18679602 18066091 613511 613511 613511 FORMULARY REBATES 136193 136193 MEDICARE PART D SUBSIDY 7658 7658 143851 9687519 9687519 6697314 14724 17515 63345 450417 19905 1415 7325 7271960 0 0 0 1401117 1797615 418059 532609 960283 1432106 21899142 23421723 24678601 27184053 42110 115812 4083151 3602980 4125261 3718792 X 20553340 23465261 20553340 23465261 24678601 27184053 2415559 496362 X false true X true false ACCUMMULATED ELIGIBILITY CREDIT 2015905 CLAIMS RESERVE 1387223 PREMIUMS PAYABLE 199852 3602980 10120535 496361 496361 9624174 63345 63345 9687519 7688786 480171 480171 7208615 63345 63345 7271960 SCHEDULE D, PAGE 4, PART XII, LINE 2D CHANGE IN ACCRUED BENEFIT OBLIGATIONS 480,171 FORM 990, PAGE 2, PART III, LINE 4D DISBURSEMENTS USED TO PROVIDE HEALTH & WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. FORM 990, PAGE 6, PART VI, LINE 3 THE DAY TO DAY MANAGEMENT AND OPERATION OF THE PLAN ARE HANDLED BY A THIRD PARTY ADMINISTRATOR, WELFARE & PENSION ADMIN. SERVICES. FORM 990, PAGE 6, PART VI, LINE 10B THE FORM 990 IS REVIEWED BY A TRUSTEE OF THE PLAN. THE FORM 990 IS PREPARED BY THE ACCOUNTANT AND SENT TO THE ADMINISTRATION OFFICE. THE ADMINISTRATIVE AGENT IS DIRECTED TO FORWARD THE FORM 900 TO THE TRUSTEE FOR REVIEW AND SIGNATURE. FORM 990, PAGE 6, PART VI, LINE 11B CHAIRMAN OF THE BOARD OF TRUSTEES REVIEWS THE FORM PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C TRUSTEES ARE REMINDED ANNUALLY OF THEIR DUTY TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A TRUSTEES AND OFFICERS DO NOT RECEIVE COMPENSATION FORM 990, PAGE 6, PART VI, LINE 15B TRUSTEES AND OFFICERS DO NOT RECEIVE COMPENSATION FORM 990, PAGE 6, PART VI, LINE 19 THE PLAN ADMINISTRATOR PROVIDES FOR THE PARTICIPANT INSPECTION OF DOCUMENTS AND FINANCIAL STATEMENTS UPON REQUEST THROUGH THE PLAN ADMINISTRATOR. FORM 990 IS AVAILABLE AT GUIDESTAR.ORG ASBESTOS LOCAL 82 N/A false ASBESTOS LOCAL 82 JATC N/A false HEAT & FROST INSULATORS LOCAL 7 N/A false INTRNTL HEAT & FROST N/A false SEATTLE ASBESTOS WKRS JATC N/A false SEATTLE BLDG AND CONSTRUCTION TRADE N/A false WESTERN WA INSULATION N/A false SUMMIT CONTRACTING LLC N/A false false THERMAX INSULATION LLC N/A false false WILLIAMS PLANT SERVICES LLC N/A false false A P I INC N/A false AARC - WEST MECHANICAL N/A false ACE MECHANICAL N/A false AIS INC N/A false APACHE INDUSTRIAL SERV N/A false AUBURN MECHANICAL N/A false BOYTER BROTHERS LLC N/A false CORVAL CONSTRUCTORS N/A false D & G MECHANICAL N/A false DKB INC N/A false EXCEL PACIFIC N/A false HECKMAN INC N/A false HOLADAY PARKS N/A false HUDSON BAY INSULATION N/A false JKAY INC N/A false K FOX INSULATION INC N/A false LIFE SAFETY SOLUTION N/A false MAPLE VALLEY ENERGY N/A false NAES POWER CONTRACTORS N/A false PERFORMANCE CONTRACTING N/A false PINCHIFF MECHANICAL N/A false SAFWAY SERVICES N/A false SAFWAY SERVICES INC N/A false SAFWAY SERVICES LLC N/A false SFS INC N/A false TANZ MECHANICAL N/A false THE JAMAR COMPANY N/A false TRUEFIRE SOLUTIONS N/A false WASTE TREATMENT COMPLE N/A false WELDTECH SERVICES INC N/A false KM THERMAL TECH N/A false false false false false false false false false false false false false false false false false false false false