2021-02-18T12:32:50-06:00 2020-09-30 910614823 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2019-10-01 943131623 VEBA Trust for Public Employees in the Northwest VEBA 5098385571 906 West 2nd Avenue No 400 Spokane WA 992014502 Douglas G Detling Board Chairman 5098385571 2021-02-18 1 SCOTT OPPERUD CPA P00542597 5097472158 2021-02-18 2019 2022-09-23 18:48:47Z Douglas G Detling 906 West 2nd Avenue No 400 Spokane WA 992014502 634211359 0 X www.hraveba.org X 1990 WA To provide qualified health and welfare benefits. 7 7 0 0 0 0 0 0 113086335 120460500 26398219 69808048 95 2674 139484649 190271222 0 0 66249324 67725241 0 0 0 0 0 6320229 6721237 72569553 74446478 66915096 115824744 581659077 680536155 11274059 1946829 570385018 678589326 The Trust provides public employees a tax-free health reimbursement arrangement (HRA), compliant with regulatory requirements, efficient administration, prudent investments and superb service. 0 0 This trust holds the assets of the Voluntary Employees' Beneficiary Association Health Care Reimbursement Plan for Public Employees in the Northwest (the Plan) for employees of county, city, town, special purpose district or similar entity in Washington, Oregon or Idaho, whose purpose is to provide public services to its citizens and is authorized to do so by state statute. The Plan provides a method of funding qualified health and welfare benefits to its participants and their dependents. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 0 0 1 126 0 1 0 0 0 0 0 0 0 0 0 X 7 7 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Arthur J Gallagher & Co 5098385571 906 West 2nd Avenue Suite 400 Spokane WA 99201 X X Doug Detling Chairman 3.00 X X 0 0 0 Beverly Freeman Vice Chairman 2.00 X X 0 0 0 Randy Anderson Treasurer (Through June 2020) 2.00 X X 0 0 0 Kristy Wolf Treasurer (Post June 2020) 2.00 X X 0 0 0 Teresa Benner Secretary 2.00 X X 0 0 0 Heather Buchanan Trustee 2.00 X 0 0 0 Joy Ramsdell Trustee 2.00 X 0 0 0 Sylvia Hubbard Trustee 2.00 X 0 0 0 0 0 0 0 0 0 0 Arthur J Gallagher & Co 906 West 2nd Avenue Suite 400 Spokane WA 99201 Consulting, marketing and client svc,cus 4586792 Empire Innovation Group LLC 410 Main Street Suite 5 Buffalo NY 14202 Software administrator, eligibility and 1326253 Goldman Sachs Asset Management 100 Bank St Burlington VT 05401 Investment consulting services 170279 Washington Trust Bank PO Box 2127 Spokane WA 99210 Investment and custodial fees 164985 Kaye-Smith 4101 Oakesdale Ave SW Renton WA 98057 General office services 115833 5 Plan contributions 525100 120460500 120460500 120460500 15153732 15153732 498594453 443940137 54654316 54654316 54654316 Other income 525100 2674 2674 2674 190271222 120463174 0 69808048 67725241 1802257 47613 33500 340261 4173448 66771 19936 46165 PCORI fees 179116 Bank charges 12170 74446478 2500964 2551682 6045561 3864141 1880 33965 473405470 540381733 99705202 130979048 0 2725586 581659077 680536155 696674 750586 1177385 1196243 9400000 0 11274059 1946829 X 570385018 678589326 570385018 678589326 581659077 680536155 X 115824744 -19001436 11381000 X 0 1 X 1 0 0 Synthetic guaranteed investment contracts 130979048 C 130979048 171269786 -19001436 -19001436 190271222 0 190271222 74446478 0 74446478 0 74446478 Form 990, Part VI, Section A, line 4 The plan documents were amended and restated effective January 1, 2020. Amendments and restatements included, but were not limited to, updates to comply with regulatory requirements and updates to administrative procedures and directives. Form 990, Part VI, Section A, line 7a There are seven Trustees from two Public Service Agency Categories (PSAC): counties, cities and towns; and special purpose districts. Within each PSAC, one Trustee is elected by the employers from the respective PSAC participating in the Trust, and one Trustee is elected by participants from the respective PSAC. The third Trustee within each PSAC is elected by all remaining Trustees, regardless of their PSAC affiliation. The seventh Trustee is elected by all other Trustees. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by the independent accounting firm of SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC based on information provided by the third-party administrators. Draft copies of the Trust's financial statements and Form 990 were first provided to the Trust's legal counsel and plan consultant for review. Any questions, concerns, or issues raised by the legal counsel and plan consultant were addressed and any necessary revisions were made to the Form 990. A draft of the revised Form 990 was then provided to the Trustees for review. Any additional questions, concerns, or issues raised by the Trustees were addressed at a meeting of the Board of Trustees where the Trust's auditor presents audited financials and a draft of the Form 990. Any necessary revisions were made to the Form 990. Upon final review and approval of the Form 990 by the Board of Trustees, the Trust's auditor filed the Form 990 in accordance with IRS instructions. Form 990, Part VI, Section B, line 12c Trustees, service providers, third-party administrators, or any other person having responsibility for the management or administration of the Trust's finances, investments, or other proprietary information concerning the Trust are considered interested persons. An interested person is under a continuing obligation to disclose any potential conflict of interest to the Board of Trustees as soon as it is known or reasonably should be known. The interested person is given the opportunity to disclose all material facts to the Trustees when considering the proposed transaction or arrangement. After disclosure of the financial, professional, or personal interest and all material facts, and after any discussion with the interested person, he/she leaves the Trustees meeting while the determination of a conflict of interest is considered. If the disinterested Trustees determine a conflict of interest exists, the Chairman of the Board, if appropriate, appoints a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the Trustees determine whether the Trust can obtain with reasonable efforts a more advantageous transaction or arrangement with a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board or committee determines by majority vote of the disinterested Trustees whether the transaction agreement or arrangement is in the Trust's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination the Trustees decide whether to enter into the transaction agreement or arrangement. The minutes of the meeting reflect that the conflict disclosure was made to the Board, the vote taken and, where applicable, the abstention from voting and participation by the interested party. Whenever possible, the minutes frame the decision of the Board in such a way to provide guidance for consideration of future conflict of interest situations. To ensure the Trust operates in a manner consistent with its tax-exempt purposes and does not engage in activities that could jeopardize its tax-exempt status, the Board of Trustees conducts periodic reviews. The periodic reviews include, at a minimum, the following subjects: Whether the contractual arrangements with service providers and the services provided are reasonable, based on competent market and survey information, and the result of arm's length negotiation; Whether contractual arrangements with service providers and arrangements with other organizations conform to written policies, are properly recorded, reflect reasonable investment or payments for goods and services, further tax-exempt purposes, and do not result in inurement, impermissible private benefit or in an excess benefit transaction, and; Whether any transaction conducted by the Trust during the review period involves or could possibly give rise to a conflict of interest. Form 990, Part VI, Section B, line 15 There are no compensated management officials, officers or key employees of the Trust. If the Trust had such compensated individuals, policies and procedures would be developed to determine compensation. Form 990, Part VI, Section C, line 19 The Trust makes its governing documents, conflict of interest policy, financial statements, and Form 990 available to the public upon written request by contacting the Trust at 906 W 2nd Avenue, Suite 400, Spokane, WA 99201. Form 990, Part VII, Section A, Line 1A The Trust does not compensate the members of the Board of Trustees for their duties as Trustees. The Board of Trustees is made up of seven individuals, six of whom are employees of counties, cities, towns or special purpose districts in Washington, Oregon or Idaho. The remaining Trustee is a former employee in a county, city or town. The Trust does not readily have access to information related to the compensation paid by other entities to the Trustees. The Trustees serve on a voluntary basis, and receive no known compensation adjustment from their employers, or any other party, for their services on the Board. Form 990, Part XI, line 9: Change in financial reporting framework as of October 1, 2019 11,381,000. Adams County Fire Protection District #5 Alderwood Water Wastewater Dis American Falls School District 381 Applegate Valley Rural Fire 9 Area Agency on Aging and Disabilities of SW WA Arlington School District Ashland Parks & Rec Commission Asotin County Asotin County Health District Association of Idaho Cities Astoria School District Athena Weston School Dist Aumsville Rural Fire District Aurora Rural Fire Protection Bainbridge Island Fire Dept Baker Charter Schools Baker County Banks Fire District #13 Banks School District #13 Bellingham Housing Authority Ben Franklin Transit Benton County Oregon Benton County Central Benton County Fire District #1 Benton Cty Fire Prot Dist 2 Benton Franklin Health Dist Benton Pud Bingham Academy DBA Idaho Stem Academy Birch Bay Water and Sewer Dist Black Butte Ranch Police Dept Blackfoot Charter Community Blue Mountain Hospital District Camas Valley School District Canby Fire District 62 Canby Utility Board Cascade Irrigation District Cascade Water Alliance Cascadia Conservation District Cedar River Water Sewer Dist Central Kitsap Fire Rescue Central Lincoln People's Utility District Central Pierce Fire and Rescue Central School District 13J Chelan County Chelan County Fire District #3 Chelan County Pud Chelan-Douglas Transportation Council City County Insurance Services City of Aberdeen City of Airway Heights City of Albany City of Arlington City of Ashland City of Astoria City of Baker City City of Bay City City of Beaverton City of Bend City of Blaine City of Boardman City of Boise City of Bremerton City of Brookings City of Burien City of Caldwell City of Canby City of Central Point City of Centralia City of Chehalis City of Chelan City of Cheney City of Clarkston City of Clatskanie City of Cle Elum City of Coeur D Alene City of Columbia City City of Colville City of Coos Bay City of Cottage Grove Association of Oregon Counties City of Covington City of Dallas City of Des Moines City of Dundee City of Dupont City of East Wenatchee City of Ellensburg City of Elma City of Enumclaw City of Ephrata City of Estacada City of Federal Way City of Fife City of Forest Grove City of Forks City of Garden City City of Garibaldi City of Gervais City of Gig Harbor City of Gladstone City of Grandview City of Gresham City of Hailey City of Happy Valley City of Harrisburg City of Hermiston City of Hillsboro City of Hood River City of Idaho Falls City of Independence City of Kalama City of Kelso City of Kenmore City of King City City of Klamath Falls Oregon City of La Center City of la Grande City of La Pine City of Lacey City of Lake Oswego City of Lake Stevens City of Leavenworth City of Lebanon City of Lewiston City of Liberty Lake City of Longview City of Madras City of Marysville City of McMinnville City of Medford City of Medina City of Mercer Island City of Millwood City of Milton City of Milwaukie City of Molalla City of Monmouth City of Monroe City of Moscow Idaho City of Mountlake Terrace City of Myrtle Creek City of Nampa City of Nehalem City of New Plymouth City of Newberg City of Newport City of Nezperce City of Normandy Park City of Oakridge City of Okanogan Bainbridge Island Parks & Rec City of Omak City of Oregon City City of Orofino City of Palouse City of Pasco City of Pendleton City of Philomath City of Phoenix City of Pilot Rock City of Pocatello City of Port Orchard City of Portland City of Post Falls City of Poulsbo City of Pullman City of Rathdrum City of Redmond (OR) City of Redmond (WA) Bonner County City of Rexburg City of Richland City of Ridgefield City of Rigby City of Rockaway Beach City of Roseburg City of Roy City of Salem City of Salem Firefighters City of Sandpoint City of Seattle City of Sedro Woolley City of Selah City of Shelton City of Sheridan City of Sherwood City of Silverton City of Spokane City of Springfield City of St Helens City of St Maries Idaho City of Stanfield City of Stayton City of Stevenson City of Sublimity City of Sun Valley City of Sunnyside City of Tacoma City of Talent City of The Dalles City of Tigard City of Tillamook City of Troutdale City of Tualatin City of Tukwila City of Tumwater City of Umatilla City of Union City of Vancouver City of Vernonia City of Waldport City of Washougal City of West Linn City of West Richland City of Willamina City of Woodburn Oregon City of Yakima Clackamas County Clackamas River Water Clallam County Clallam County Pud 1 Clallam Cty Fire Protect Dst3 Clallam Transit System Clark CO Fire Dist 3 Clark County Fire & Rescue Clark County Fire Dist 6 Clark County Public Transport Clark Public Utilities Clatskanie Pud Clatskanie School District Clatsop County Clean Water Services Cloverdale Rural Fire Dist Coal Creek Utility District Columbia 911 Comm Dist Columbia Basin Hydropower Columbia CO Rural Library Dist Columbia County Columbia County of Oregon Columbia County Public Transportation Columbia River Fire & Rescue Columbia River Pud Community Library Network Condon School District 25J Consolidated Diking Imprvmnt Coos County Corbett School District County of Boise School Dist 72 County of Douglas County of Linn Covington Water District Cowlitz 911 Cowlitz County Cowlitz County Fire #5 Cowlitz County Fire District 6 Cowlitz County Pud Cowlitz-Wahkiakum Council Crescent Rural Fire Protection Crook County Fire & Rescue Crooked River Ranch F & R Cross Valley Water District Curry County Dayville School District 16J Depoe Bay Fire District Douglas County Douglas County Fire Dist 2 Douglas County Pud No 1 Douglas County Sewer Dist 1 Douglas Okanogan County Fd #15 Duvall Fire Eagle Fire Protection District East Pierce Fire & Rescue East Wenatchee Water Dist Emergency Comm Southern Oregon Energy Northwest Estacada Rural Fire Dist #69 Eugene Water Electric Board Ferry County Pud Franklin County Franklin County Emergency Mgmt Franklin County Fire District #3 Franklin County Pud Garfield County Gilliam County Goshen Fire District Grant County Esd Grant County Pud #2 Grant School District #3 Grays Harbor County Pud Great Rivers Behavioral Health Organization Greater Albany Public SD 8J Greater Columbia Behavioral Hl Green Sanitary District Hartstene Pointe Water - Sewer District Highline Water District Hood River CO Library District Hood River County Hood River School District Housing Auth of Clackamas CO Housing Authority of Yamhill County Idaho Sci&Tech Charter School Illinois Valley Rural Fire Inland Power & Light Company Intermountain Esd Island County Island County Emergency Services Communication ICOM Jackson County Jackson County Fire #5 Jackson County Fire Dist No 3 Jefferson County Fire Dist 1 Jefferson County Oregon Jefferson County Pud Jefferson Cty Fire Protect Dst Jefferson Transit Authority Jewell School District 8 Josephine County Keizer Fire District King County King County Fire Protection Dist #27 King County Water Dist #20 King County Water Dist #49 King County Water Dist 125 Canyon Highway District No 4 Kitsap County Fire Dist #18 Kitsap Public Health District Kitsap Regional Library Kittitas County Kittitas County Fire District #2 Kittitas County Pud Klamath County Klamath Emrg Communication Dst Klickitat County Pud #1 Kootenai CO Emerg Medical Serv Kootenai County Lacey Fire District 3 Lake Chelan Reclamation Dist Lake County Esd Lake Meridian Water District Lake Oswego School District Lake Stevens Sewer District Lake Whatcom Water and Sewer Dist Lakehaven Water and Sewer District Lakes Highway District Lane Fire Authority Lane Library District League of Oregon Cities Lebanon Comm School Dist 9 Lebanon Fire District Lewis County Lewis County Pud Lewiston Orchards Irrigat Dist Lincoln County Lincoln County Oregon Lincoln County School District Link Transit Lott Clean Water Alliance Lyons Rural Fire Protection District Madison County Malaga Water District Manchester Water District Marion CO Housing Authority Marion County Fire Dist #1 Marysville Fire District Mason County Pud 1 Mason County Washington Mason Fire District #5 McKenzie Fire & Rescue McMinnville School Dist #40 McMinnville Water and Light Medford Water Commission Metcom 911 Metro Parks Tacoma Mid Columbia Center for Living Mid-Columbia Fire and Rescue Midway Sewer District Mid-Willamette Valley Council of Governments Mohawk Valley Rural Fire Dist Molalla Rural Fire Protection District #73 Monument School District Morrow County Morrow County School District Chelan Douglas Regional Port Authority Mukilteo Water Wastewater Dist Multnomah County Multnomah Esd NE Sammamish Sewer & Water Dst NE Tri County Health Dist Neah-Kah-Nie School District 56 Neahkahnie Water District Nestucca Valley School Dist Nez Perce County No Mason Reg Fire Authority City of Deer Park North City Water District North Kootenai Water & Sewer Dist North Lincoln Fire # Rescue Dist #1 North Marion School Dst #15 North Perry Ave Water District North Santiam School District North Wasco County SD 21 Northern Lakes Fire Dist Northern Wasco County Pud Northwest Regional Esd Northwest Seaport Alliance Nw Oregon Housing Authority Okanogan County Okanogan County Public Health Okanogan County Pud 1 Olympic View Water&Sewer Dist Oregon City School District Pacific County Pangborn Memorial Airport Pend Oreille County Pend Oreille County Library District Pend Oreille County Pud Pendleton School District 16R Peninsula Light Company Perrydale School District Philomath School District Pierce County Pierce County Library City of Langley Pleasant Home Water District Polk County Fire District 1 Polk Soil & Water Conservation District Port Ludlow Fire and Rescue Port of Bremerton Port of Camas - Washougal Port of Chehalis Port of Chelan County Port of Columbia County Port of Everett Port of Kalama Port of Kennewick Port of Longview Port of Morrow Port of Olympia Port of Pasco Port of Peninsula Port of Port Angeles Port of Portland Port of Skamania County Port of Tacoma Port of Vancouver Port of Walla WallaReg Airpor Port of Willapa Harbor Port Orford Langlois SD 2Cj Post Falls Highway District Prairie City School District Prosper Portland Public Utility Dist 2 Pacific Puget Sound Regional Council Puget Sound Regional Fire Authority Redmond Fire & Rescue Riverdale School District 51J Riverside Fire Authority Roberts Creek Water District Rockwood Water PUD Rogue River Fire District Rogue Valley Transportation Dist Roseburg Urban Sanitary Authority Salem Area Transit San Juan County San Juan County Fire Protection District 3 Sandy Fire District #72 Scappoose Rural Fire District Scappoose School District 1J Scio School District SE Thurston Fire Authority Seaside School District 10 Sheridan School District Sherwood School District Shoshone County Si View Metro Parks Dist Silver Lake Water Sewer Dist Silverdale Water District Silverton Fire District Sisters Camp Sherman Fire Dist City of Oak Harbor Skagit 911 Skagit County Skagit Transit Skamania County Skamania County Pud 1 Skamania EMS Skyway Water and Sewer Dist Snohomish Conservation Dist Snohomish County Snohomish County Fire #5 Snohomish County Fire Dept 26 Snohomish County Fire Dist 4 Snohomish Cty Fire Pro Dist 7 Snohomish Health District Soos Creek Water & Sewer District South Beach Fire and EMS South Fork Water Board South Gilliam CO Health Dist South King Fire and Rescue South Kitsap Fire & Rescue South Lane Fire & Rescue South Lane School District Southwest Suburban Sewer Dist Spokane County Spokane County Fire Dist #4 Spokane County Fire Dist #9 Spokane County Fire District 10 Spokane County Noxious Weed CO Spokane Housing Authority Spokane Transit Authority Spokane Valley Fire Department Springfield Utility Board Stanfield School District 61R Star Fire Protection Dist Stevens County City of Renton Stevens County Pud #1 Stevens Cty Conservation Dist Sublimity Fire District Sunriver Service District Sunset Empire ParksRec Dist Three Rivers Regional Wastewater Authority Thurston County Thurston County Fire Protection District 8 Thurston Cty Pud No 1 Tigard-Tualatin SD 23J Tillamook County Tillamook County Trans Dist Tillamook Fire District Tillamook Pud Tillamook School District #9 Town of Coulee Dam Treasure Valley Community College Tri County Econ Development Trimet Tualatin Valley Water District Turner Fire District Umatilla CO School District 6R Umatilla County Umatilla County Fire District #1 Umatilla Cty (Hermiston) SD 8R Valley Transit Valley View Sewer District Valley Water Dist Vera Water and Power W Multnomah Soil & Water Cons WA Association of Prosecuting Attorneys WA County Consolidated Comm Agency (WCCCA) WA St Assoc of Counties Wahkiakum County Wahkiakum Pud Wahtonka Community School Walla Walla County Walla Walla County Fire District 4 Walla Walla County Fire Protection Dist No 5 Wallowa County Warrenton Hammond School 30 Washington Association of County Officials Washington Cities Insurance Authori Washington County Washington Pud Association Water & Sewer Risk Mgmt Pool West Pierce Fire & Rescue West Sound Utility Dist West Thurston Regional Fire Authority City of Tonasket Whitman County Winston-Dillard Fire Dist No 5 Wood River Fire Protection Dist Woodburn Fire District Woodinville Water District Worley Highway Dist Yakima County Yakima County Fire Dist 5 Yakima County Fire PD #12 Yamhill Communications Agency Yamhill County City of Union Gap Columbia County Fire #3 Four Rivers Community School Jackson County Fire Dist 4 Kitsap County PUD #1 Klickitat County EMS Dist #1 Lane County Lewis & Clark Rural Fire Protection Dist Local Highway Technical Assistance Council Lynnwood Public Facilities District Madison Memorial Hospital North Beach Water District Pilot Rock SD 2R Port of Woodland Umatilla Rural Fire Protection Dist 7-405 Umpqua Public Transportation District 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1