2021-11-12T11:37:47-06:00 2020-12-31 205520612 L M HENDERSON & COMPANY LLP 450 E 96TH ST STE 200 INDIANAPOLIS IN 462403797 990 2020-01-01 356042362 INDIANAKENTUCKYOHIO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND INDI 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 TODD PANCAKE CHAIRMAN/TRUSTEE 3177913500 2021-11-12 true TODD PANCAKE 999009999 MICHELLE L ZIMMERMAN P00266120 3175661000 2021-11-12 2020 2022-09-23 18:48:47Z TODD PANCAKE 700 TOWER DRIVE TROY MI 48098 200016672 false X N/A X 1960 IN PROVIDING HEALTH AND WELFARE BENEFITS 12 12 0 12 0 0 173656085 159538087 9541660 9354328 91415 934544 183289160 169826959 0 149216844 145956592 87535 80559 0 0 10416858 10440360 159721237 156477511 23567923 13349448 271951478 286571845 183160944 178093828 88790534 108478017 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 false 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 7 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 false false false false false false IN X BENESYS INC 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 X ANDY BINKLEY TRUSTEE 1.00 X 0 0 0 HAROLD FORCE 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 JOHN HAYS TRUSTEE 1.00 X 0 0 0 WAYLON ISAACS TRUSTEE 1.00 X 0 0 0 MATT MCGRIFF TRUSTEE 1.00 X 0 0 0 WILLIAM NIX CHAIRMAN/TRU 1.00 X 0 0 0 TODD PANCAKE CHAIRMAN/TRU 1.00 X 0 0 0 MIKE STAVITZKE TRUSTEE 1.00 X 0 0 0 ANDY TROPP TRUSTEE 1.00 X 0 0 0 GREG TUCKER TRUSTEE 1.00 X 0 0 0 false false false ANTHEM INSURANCE COMPANIES 220 VIRGINIA STREET INDIANAPOLIS IN 46204 CLAIMS SUPPORT 3907238 BENESYS INC 700 TOWER DRIVE STE 300 TROY MI 48098 GENERAL PLAN AD 2008235 EXPRESS SCRIPTS 1 EXPRESS WAY ST LOUIS MO 63121 RX ADMIN FEES 1235442 AMERICAN HEALTH HOLDING 100 WEST OLD WILSON BRIDGE ROAD WORTHINGTON OH 43085 CLAIMS SUPPORT 999851 DELTA DENTAL 5875 CASTLE CREEK PARKWAY SUITE 191 INDIANAPOLIS IN 46250 CLAIMS PROCESSI 381634 13 EMPLOYER CONTRIBUTIONS 525100 139136866 139136866 EMPLOYEE CONTRIBUTIONS 525100 20401221 20401221 159538087 8462192 8462192 31081849 30189713 892136 892136 892136 HUMANA GAIN SETTLEMENT 900099 868072 868072 MISCELLANEOUS INCOME 66472 66472 934544 169826959 169826959 145956592 80559 258359 185443 534550 115525 504341 6191 25925 ADMIN/CONSULTING FEES 8750607 TRANSITIONAL REINSURANCE 52974 MISCELLANEOUS 6445 156477511 0 0 0 39158202 26027264 5293317 5395242 16641990 19240220 497246 153030 199278260 224549247 11082463 11206842 271951478 286571845 19362038 15387205 163798906 162706623 183160944 178093828 X 88790534 108478017 88790534 108478017 271951478 286571845 13349448 6338035 X false true X true false EST LIABILITY FOR FUTURE BENEFITS 141797623 EST CLAIMS INCURRED BUT NOT PAID 20909000 162706623 X 175630444 6338035 6338035 169292409 534550 534550 169826959 155942961 155942961 534550 534550 156477511 SCHEDULE D, PAGE 3, PART X THE TRUST ESTABLISHED UNDER THE FUND TO HOLD THE FUND'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (THE CODE), AND, ACCORDINGLY, THE TRUST'S 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 SPONSER 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, 2020 AND DECEMBER 31, 2019, 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; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS 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 12: THE TRUST FUND DOES NOT RETAIN A WRITTEN CONFLICT OF INTEREST POLICY, BUT THE BOARD OF TRUSTEES AND TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH REGARDS TO THE 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 19 THE FUND DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE TRUST FUND AND THE BOARD OF TRUSTEES CONFORM WITH ERISA RULES AND REGULATIONS RELATING TO THIS MATTER. 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