2020-11-16T10:21:04-08:00 2019-12-31 Cuneo Lawson Shay & Staley 1100 Main Street Suite 2880 Kansas City MO 64105 990 2019-01-01 367485085 MIDDLETOWN WORKS HOURLY & SALARIED UNION RETIREES HEALTH CARE FUND MIDD 8778295500 c/o BMGI 1520 Kensington Rd Oak Brook IL 60523 Brian Daley Chair 8778295500 2020-07-14 true Ronald Eib P00380563 8168420805 216.21.166.160 2020-11-16 10:20:57 PS P 6E76EE8EC94D5785A57B41A496587EF4225807B8 410B67FFC14597DB28A7DF5DE6F4F469271CD7F9 2019 2021-04-22 16:20:28Z Brian Daley 1201 Crawford St Middletown OH 45044 275096213 false X N/A X 2008 IL TO PROVIDE HEALTH BENEFITS 5 0 0 0 0 0 0 13551312 14553134 42142559 32390514 0 55693871 46943648 0 49110908 49162129 92500 79525 0 0 2594886 2123680 51798294 51365334 3895577 -4421686 614265909 674421418 228466 267209 614037443 674154209 TO PROVIDE HEALTH BENEFITS AND PROVIDE MEDICARE PART B PREMIUM REIMBURSEMENTS false false To provide medical, prescription drug, dental, vision and/or life insurance benefits for eligible retirees and their dependents. false false false false false false false false false false false false false false 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 false false false false true 0 0 true 0 false false false false false false false false X 5 0 false true false false false false false true true false false true false false true false false false X Benefits Management Group Inc 6302303928 1520 Kensington Road Ste 200 Oak Brook IL 60523 Brian Daley Chair 8.00 X 11500 0 0 Roger McClow Co-Chair 8.00 X 32000 0 0 Jay Youngdahl Trustee 8.00 X 30000 0 0 Roger Minor Trustee 8.00 X 9500 0 0 Michael Bailey Trustee 8.00 X 9500 0 0 92500 0 0 0 false false false Zenith Business Solutions Inc 3333 N Mayfair Rd Suite 201 Wauwatosa WI 53222 TPA 816967 Express Scripts 100 Parsons Pond Drive Franklin Lakes NJ 07417 Pharmacy benefit manager 603090 United Health Care 185 Asylum Street Hartford CT 06103 Medical network access 202772 Keenan Associates 2355 Crenshaw Blvd Torrance CA 90501 Consulting 116321 Amalgamated Bank 275 7th Ave New York NY 10001 Investment manager 105118 5 Employer group waiver plan rebate 900099 7225889 0 0 Prescription drug rebates 900099 3900759 0 0 Subrogation 900099 45326 0 0 Self pay contributions 900099 3381160 0 0 14553134 14016026 0 14016026 246527053 228152565 18374488 18374488 0 0 18374488 46943648 14553134 0 32390514 49162129 49162129 79525 79525 0 0 646635 646635 0 0 41340 41340 0 0 23852 23852 0 0 148101 148101 0 0 929313 929313 0 0 127854 127854 0 0 31670 31670 0 0 60339 60339 0 0 PCORI fees 12576 12576 0 0 Consulting 102000 102000 0 0 51365334 51365334 0 0 494128 37925 18925791 20414508 5336969 5146297 20113 20112 589488908 648802576 614265909 674421418 175606 212594 52860 54615 228466 267209 X 614037443 674154209 614037443 674154209 614265909 674421418 -4421686 64538452 X false true X true false 111333999 64538452 64538452 46795547 148101 148101 46943648 51217233 51217233 148101 148101 51365334 Pt VI, Line 3 ALTHOUGH THE TRUSTEES MAINTAIN ULTIMATE CONTROL AND RESPONSIBILITY FOR THE PLAN, THEY HAVE DELEGATED THE DAY-TO-DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. Pt VI, Line 11b A COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES FOR THEIR REVIEW. FORM 990 IS SIGNED AND FILED ONLY AFTER ANY QUESTIONS ARE ANSWERED AND ANY REVIEW CHANGES ARE MADE. Pt VI, Line 19 NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. ANY PARTICIPANT WILL BE PROVIDED A COPY UPON REQUEST. Pt VI, Line 15b ALTHOGH THE PLAN DOES NOT USE THE METHODS LISTED IN PART VI,SECTION B, NUMBER 15 TP DETERMINE COMPENSATION, THE PLAN HAS ADOPTED A FORMAL COMPENSATION POLICY. Other Trustee comensation on Pt VII, Line 1d, Trustee compensation shows $92,500 verses Pt IX, Line 5 Trustee compensasion shows $79,525. This $12,975 difference is the result of correction a prior year adjusting journal entry. True compensation for 2019 is $92,500.