2021-10-13T20:52:04-05:00 2020-12-31 931015766 BJORKLUND & MONTPLAISIR CPA'S 10300 SW GREENBURG ROAD STE 470 PORTLAND OR 97223 990 2020-01-01 931204757 IBEW 125 - PGE HEALTH AND WELFARE TRUST EBA- 5032240048 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 MARK PROPP CO-CHAIR TRUSTEE/CO-CHAIR 5032240048 2021-10-04 true MARK PROPP 999009999 RICHARD A LAYNE P00359754 5036436400 2021-10-13 2020 2022-09-23 18:48:47Z MARK PROPP CO-CHAIR 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 19707839 false X X 1996 OR TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 6 6 0 0 0 18596934 18600048 97586 98856 0 18694520 18698904 0 17348560 16244604 0 0 0 1103057 975582 18451617 17220186 242903 1478718 6199962 8195887 1834659 2253153 4365303 5942734 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false 17220186 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 17220186 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 3 0 true 0 false false false false false false false false X 6 6 false false false false false false false true true false false true true true true true true true true false X X BENESYS INC 2066734002 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 X JEFF CARSON TRUSTEE 1.00 X 0 0 0 JAKE CARTER TRUSTEE 1.00 X 0 0 0 MARK PROPP CO-CHAIR TRUSTEE/CO-C 1.00 X X 0 0 0 SARAH DAMMEN TRUSTEE 1.00 X 0 0 0 DON ERI TRUSTEE 1.00 X X 0 0 0 TAMARA NEITZKE TRUSTEE 1.00 X 0 0 0 false false false REGENCE BLUECROSS BLUESHIELD OF OR 100 SW MARKET STREET PORTLAND OR 97201 CLAIMS PAYMENT 435064 THE SEGAL COMPANY 1230 W WASHINGTON STREET SUITE 501 TEMPE AZ 85281 BENEFIT CONSULT 140883 BENESYS 18300 CASCADE AVENUE S TUKWILA WA 98188 TPA 136854 RENALOGIC 22601 N 19TH AVENUE SUITE 230 PHOENIX AZ 85027 CLAIMS 107900 4 EMPLOYER CONTRIBUTIONS 15422864 15422864 PARTICIPANT CONTRIBUTIONS 2853098 2853098 REBATES 324086 324086 18600048 81174 81174 1026617 1008935 17682 17682 17682 18698904 18698904 16244604 16244604 70260 70260 14808 14808 11975 11975 812840 812840 26172 26172 17 17 20020 20020 BANK CHARGES 12990 12990 ACTUARIAL FEES 6500 6500 17220186 17220186 0 0 3558948 2301792 141149 136611 47711 48060 2345039 5518999 107115 190425 6199962 8195887 167427 30491 1667232 2222662 1834659 2253153 X 4365303 5942734 4365303 5942734 6199962 8195887 1478718 98713 X false true X true false CLAIMS INCURRED BUT NOT PAID 2222662 2222662 18785642 98713 98713 18686929 11975 11975 18698904 16652781 16652781 11975 555430 567405 17220186 SCHEDULE D, PAGE 4, PART XII, LINE 4B INCREASE IN BENEFIT OBLIGATIONS 555,430 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE PLAN'S LEGAL COUNSEL AND THIRD PARTY ADMINISTRATOR, AND PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C UNDER THE POLICY, EACH TRUSTEE IS INDIVIDUALLY CHARGED WITH THE RESPONSIBILITY TO DISCLOSE ANY CONFLICT OR POTENTIAL CONFLICT. THEY ARE REMINDED OF THIS RESPONSIBILITY PERIODICALLY. FORM 990, PAGE 6, PART VI, LINE 15A NO COMPENSATION IS PAID. FORM 990, PAGE 6, PART VI, LINE 15B NO COMPENSATION IS PAID. FORM 990, PAGE 6, PART VI, LINE 19 MADE AVAILABLE UPON REQUEST THROUGH THE TRUST'S THIRD PARTY ADMINISTRATOR. IBEW 125 N/A false PORTLAND GENERAL ELECTRIC COMPANY PO BOX 4438 PORTLAND OR 97208 ELECTRICIT N/A C CORP false false false false false false false false false false false false false false false false false false false false