2020-05-28T17:42:16-05:00 2019-09-30 MILLER KAPLAN ARASE LLP TWO EMBARCADERO CTR STE 2280 SAN FRANCISCO CA 941113916 990 2018-10-01 776009955 California's Valued Trust % ROBERT POWERS CALI 5594372960 520 E Herndon Ave Fresno CA 93720 ROBERT POWERS Dir of Financial Svc 5594372960 2020-05-28 true Catherine Gardner P00350865 4159563600 12.244.147.122 95416620201495000000 2020-05-28 P 09CEDCC3F0D5A45DB6FADFBB8553433F8A4203FD 1D553F0CC161CAB4950D5232994D4871B352D586 2018 2021-09-10 13:11:23Z Valerie Cornuelle 520 E Herndon Ave Fresno CA 93720 844173761 false X www.cvtrust.org X 1984 CA TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES, RETIREES AND THEIR DEPENDENTS. 12 7 41 0 0 0 0 0 818754719 825354286 6285176 5303835 369236 373208 825409131 831031329 0 0 790588526 777665541 4296685 5185036 0 0 0 33777647 34875283 828662858 817725860 -3253727 13305469 157635073 161910543 78001519 68453435 79633554 93457108 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES, RETIREES AND THEIR DEPENDENTS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES, RETIREES AND THEIR DEPENDENTS. false false false false false false false false false true true false false true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 33 0 true 41 true false false false false false false false false X 12 7 false false false false false false false true true false false true true true true true true true true false X ROBERT POWERS 5594372960 520 E HERNDON AVE Fresno CA 93720 X Chad Wood Trustee 4.0 0.0 X 0 0 205 chuck king Trustee 4.0 0.0 X 0 0 0 Carole Anne Luckenbach Trustee 4.0 0.0 X 0 0 0 Elizabeth Zulueta Trustee 4.0 0.0 X 0 0 205 Sue Eustice Trustee 4.0 0.0 X 0 0 205 Elaine Cash Trustee 4.0 0.0 X 0 0 205 Nancy Smith Trustee 4.0 0.0 X 0 0 205 John Pestorich Trustee 4.0 0.0 X 0 0 205 Larry Yeghoian Trustee 4.0 0.0 X 0 0 205 Debra Cole Trustee 4.0 0.0 X 0 0 205 Anthony Parreira Trustee 4.0 0.0 X 0 0 205 Keith Pace Trustee 4.0 0.0 X 0 0 205 Valerie Cornuelle Executive Director 40.0 0.0 X 231851 0 37888 Robert Powers Dir. of Financial Services 40.0 0.0 X 153383 0 32003 BROOK PAULSEN IT MANAGER 40.0 0.0 X 112546 0 28940 JOHN MEDEARIS BUSINESS SYSTEMS ANALYST 40.0 0.0 X 106411 0 28480 JEFF CORNELIUS DIR. OF STRATEGIC INITIATIVES 40.0 0.0 X 127608 0 30070 ERIC FIEDLER ACCOUNT MANAGER 40.0 0.0 X 113668 0 27008 MAI THAO SENIOR ACCOUNTANT 40.0 0.0 X 105907 0 26426 951374 0 212865 9 false true false Anthem Blue Cross 11050 Olson Dr Ste 110 RANCHO CORDOVA CA 95670 claims admin service 17725923 Delta Dental 100 First St 6th Fl SAN FRANCISCO CA 94105 Claims admin service 3845645 BLUE SHIELD OF CALIFORNIA 50 BEALE ST SAN FRANCISCO CA 94105 ADMIN SERVICE 2609993 health comp po box 45018 FRESNO CA 93718 claims admin service 1196553 Blue Shield of California 50 Beale St SAN FRANCISCO CA 94105 CLAIMS ADMIN SERVICE 1116857 4 0 EMPLOYER CONTRIBUTIONS 900099 749252465 749252465 PARTICIPANT CONTRIBUTIONS 900099 33245741 33245741 STOP-LOSS REIMBURSEMENTS 900099 5136749 5136749 DRUG REBATES 900099 37719331 37719331 825354286 2991565 2991565 0 0 0 0 0 15454702 13142432 2312270 2312270 2312270 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE SERVICES 900099 100313 100313 OTHER INCOME 900099 272895 272895 373208 831031329 825727494 5303835 0 0 0 777665541 465396 0 3110365 224243 1123636 261396 0 240000 171077 0 0 156496 32107432 266313 752841 16053 0 114899 214198 0 138329 0 0 395616 101217 ACA FEES 200812 817725860 660 466 199686 10311028 0 0 30552126 20130811 0 0 0 0 0 0 0 0 269842 316688 5848285 3682352 2275135 2165933 69801827 73544798 54535797 55440819 0 0 0 0 0 0 157635073 161910543 4277628 1047729 0 0 6776426 7599067 0 0 0 0 0 0 0 0 0 0 66947465 59806639 78001519 68453435 X 0 0 0 0 79633554 93457108 79633554 93457108 157635073 161910543 13305469 518085 X false true X true 1012000 1012000 1583183 994344 588839 29443 29443 3223659 2658565 565094 2165933 COMMON/COLLECTIVE TRUSTS 15205694 F LIMITED PARTNERSHIPS 15001269 F BUSINESS LOAN TRUST 7157334 F 103-12 ENTITIES 18076522 F 55440819 0 CLAIMS PAYABLE AND INCURRED BUT 0 NOT PAID 56455867 POSTRETIREMENT BENEFIT COST 2495800 OBLIGATIONS FOR BENEFIT OF OTHERS 854972 59806639 X 788536838 518085 518085 788018753 156496 42856080 43012576 831031329 781706552 -42856080 -42856080 824562632 156496 -6993268 -6836772 817725860 Part X, Line 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN A TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAX AUTHORITY. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B: STOP-LOSS REIMBURSEMENTS $ 5,136,749 DRUG REBATES 37,719,331 TOTAL 42,856,080 PART XII, LINE 2D: STOP-LOSS REIMBURSEMENTS ($ 5,136,749) DRUG REBATES ( 37,719,331) TOTAL ( 42,856,080) PART XII, LINE 4B: CHANGE IN BENEFIT OBLIGATIONS ($ 6,993,268) X false false false Valerie Cornuelle Executive Director 231851 0 17389 20499 269739 0 Robert Powers Dir. of Financial Services 153383 0 11504 20499 185386 0 JEFF CORNELIUS DIR. OF STRATEGIC INITIATIVES 127608 0 9571 20499 157678 0 PART VI, SECTION B, LINE 11B: A COPY OF THE FORM 990 WAS PROVIDED TO THE PLAN'S GOVERNING BODY PRIOR TO THE FORM 990 BEING FILED. THE FORM 990 WAS REVIEWED BY THE PLAN'S AUDIT COMMITTEE AND THE DIRECTOR OF FINANCIAL SERVICES BEFORE IT WAS FILED. PART VI, SECTION B, LINE 12C: AT LEAST ANNUALLY, DIRECTORS AND OTHER FIDUCIARIES ARE ASKED TO DISCLOSE ANY RELATIONSHIPS OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. IF THERE IS A CONFLICT OF INTEREST, THE CONFLICTING INTEREST IS FULLY DISCLOSED AND DOCUMENTED IN WRITING. THE DIRECTOR OR FIDUCIARY WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS; THE BOARD DETERMINES IF THE TRANSACTION IS IN THE BEST INTEREST OF THE PLAN, AND THE TERMS OF THE TRANSACTION ARE FAIR WITH RESPECT TO TERMS AVAILABLE THROUGH ARMS-LENGTH TRANSACTIONS IN THE MARKETPLACE. PART VI, SECTION B, LINE 15: COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS APPROVED BY THE BOARD OF TRUSTEES IN 2017. PART VI, SECTION C, LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII, SECTION A, COLUMN E: ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM THE RELATED TAX-EXEMPT ORGANIZATIONS ARE AVAILABLE AT THE TRUST. PART XII, LINE 2C: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF BOTH THE AUDIT AND THE SELECTION OF THE CERTIFIED PUBLIC ACCOUNTANTS THAT AUDIT THE PLAN'S FINANCIAL STATEMENTS. THE FULL BOARD ANNUALLY APPROVES THE AUDIT AND ANY CHANGE TO THE CERTIFIED PUBLIC ACCOUNTANTS. SEE PART VII SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false false false false true SCHEDULE R, PART II: THE LIST OF CONTRIBUTING EMPLOYERS IS MAINTAINED BY THE ADMINISTRATIVE OFFICE.