2021-11-11T16:18:11-06:00 2020-12-31 430765316 RUBINBROWN LLP 10801 W CHARLESTON BLVD SUITE 300 LAS VEGAS NV 89135 990 2020-01-01 471237848 TEAMSTERS SECURITY FUND FOR SOUTHERN NEVADA - HOTEL AND CASINO WORKERS TEAM 7027348601 2250 SOUTH RANCHO DRIVE NO 295 LAS VEGAS NV 891024409 BEVERLY WILLIAMS TRUSTEE 6263509860 2021-11-11 1 BEVERLY WILLIAMS 999009999 JAMES CHAPMAN CPA P01361507 7024152112 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z SEAN HARREN 2250 SOUTH RANCHO DRIVE NO 295 LAS VEGAS NV 891024409 124140360 0 X N/A X 2014 NV TO PROVIDE HEALTH AND OTHER BENEFITS TO PARTICIPANTS OF EMPLOYERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS WITH TEAMSTERS HOTEL AND CASINO WORKERS IN SOUTHERN NEVADA. 4 4 1 0 0 0 0 0 32081349 17833710 2192455 2096434 423914 3696746 34697718 23626890 0 0 29414517 27515181 95009 112709 0 0 0 1611684 2237741 31121210 29865631 3576508 -6238741 51470138 45910645 12969948 11337267 38500190 34573378 TO PROVIDE HEALTH AND OTHER BENEFITS TO PARTICIPANTS OF EMPLOYERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS WITH TEAMSTERS HOTEL AND CASINO WORKERS IN SOUTHERN NEVADA. 0 0 FUND PAID MEDICAL CLAIMS FOR ITS PARTICIPANTS AND THEIR DEPENDENTS. FUND PAID MEDICAL AND LIFE INSURANCE PREMIUMS FOR ITS PARTICIPANTS AND THEIR DEPENDENTS. FUND PAID PRESCRIPTION CLAIMS FOR ITS PARTICIPANTS AND THEIR DEPENDENTS. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 1 0 X ZENITH AMERICAN SOLUTIONS 7027348601 2250 SO RANCHO SUITE 295 LAS VEGAS NV 89102 X SEAN HARREN CHAIR 4.00 X X 0 0 0 WENDY NUTT CO-CHAIR 2.00 X X 0 0 0 BEVERLY WILLIAMS TRUSTEE 2.00 X 0 0 0 SERVANDO LARA TRUSTEE 2.00 X 0 0 0 CECILIA BACERO CLINICAL DIRECTOR 40.00 X 140693 0 0 140693 0 0 1 0 0 0 ZENITH AMERICAN SOLUTIONS INC 2250 SOUTH RANCHO DRIVE SUITE 295 LAS VEGAS NV 89102 CONTRACT ADMINISTRATOR 897436 ANTHEM - BLUE CROSS PO BOX 5747 DENVER CO 80217 HEALTHCARE MANAGEMENT SERVICES 491640 INNOVATIVE CARE MANAGEMENT 6400 SE LAKE ROAD SUITE 410 PORTLAND OR 89135 HEALTHCARE MANAGEMENT SERVICES 224535 ELIXIR RX SOLUTIONS LLC 2181 EAST AURORA ROAD SUITE 201 TWINSBURG OH 44087 HEALTHCARE MANAGEMENT SERVICES 128179 SEGAL COMPANY INC 1230 WEST WASHINGTON STREET SUITE TEMPE AZ 85281 CONSULTING 112305 5 EMPLOYEE CONTRIBUTIONS 900099 9338309 9338309 EMPLOYER CONTRIBUTIONS 900099 8495401 8495401 17833710 864099 864099 101745805 100513470 1232335 1232335 1232335 DECREASE IN BENEFIT OBLIGATIONS 900099 1708523 1708523 REBATES 900099 1035793 1035793 STOP LOSS CLAIM RECOVERIES 900099 952430 952430 3696746 23626890 22762791 0 864099 27515181 66008 46701 1028995 57600 68776 66878 933152 37788 1065 505 42982 29865631 630583 467413 3882133 5588682 4356577 2350073 3319 2814 42597526 37501663 51470138 45910645 964240 429082 12005708 10908185 12969948 11337267 X 0 0 0 0 38500190 34573378 38500190 34573378 51470138 45910645 -6238741 2311929 0 X X 0 1 X 1 0 0 ESTIMATED INCURRED UNREPORTED CLAIMS 3458200 ESTIMATED FUTURE ELIGIBILITY 2188800 OTHER PARTICIPANTS FULLY ELIGIBLE FOR BENEFITS 1786677 OTHER PARTICIPANTS NOT YET FULLY ELIGIBLE FOR BENEFITS 3055315 POSTRETIREMENT BENEFIT OBLIGATION 419193 10908185 X 25938819 2311929 2311929 23626890 0 23626890 29865631 0 29865631 0 29865631 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE 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. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES RECEIVES A DRAFT COPY OF THE FORM 990 FOR REVIEW BEFORE THE FINAL FORM 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED REGULARLY DURING BOARD OF TRUSTEE MEETINGS. FORM 990, PART VI, SECTION B, LINE 15B ANNUALLY, THE TRUSTEES DO A COMPARATIVE ANALYSIS AND REVIEW AND APPROVE THE CLINICAL MANAGER'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ADMINISTRATOR HAS COPIES AVAILABLE UPON REQUEST FOR THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE TRUST FUND'S FINANCIAL STATEMENTS AND FOR THE SELECTION OF AN INDEPENDENT AUDITOR. THE TRUSTEES HAVE NOT CHANGED THEIR PROCESS SINCE THE PRIOR YEAR.