2019-11-14T13:25:08-06:00 2018-12-31 MILLER KAPLAN ARASE LLP TWO EMBARCADERO CTR STE 2280 SAN FRANCISCO CA 941113916 990 2018-01-01 946096327 OPERATING ENGINEERS UNION 3 PENSIONED HEALTH & WELFARE FUND % ZENITH AMERICAN SOLUTIONS OPER 5106718800 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 DAN REDING TRUSTEE 5106718800 2019-11-13 true Catherine Gardner P00350865 4159563600 12.244.147.122 95416620193185000025 2019-11-14 P 1D553F0CC161CAB4950D5232994D4871B352D586 1D553F0CC161CAB4950D5232994D4871B352D586 2018 2020-03-31 21:24:44Z DAN REDING 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 222214934 false X N/A X 1962 CA TO PROVIDE HEALTHCARE BENEFITS DURING RETIREMENT TO ELIGIBLE OPERATING ENGINEERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS. 20 0 0 0 0 0 0 0 107657146 108458423 4285976 4942536 19934261 22054729 131877383 135455688 0 0 109728552 109878325 0 0 0 0 0 7606459 6034027 117335011 115912352 14542372 19543336 170562988 185660473 12612171 13379906 157950817 172280567 TO PROVIDE HEALTHCARE BENEFITS DURING RETIREMENT TO ELIGIBLE OPERATING ENGINEERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS. false false TO PROVIDE HEALTHCARE BENEFITS DURING RETIREMENT TO ELIGIBLE OPERATING ENGINEERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS. false false false false false false false false false false true 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 0 0 true 0 false false false false false false X 20 0 false false false false false false false true false false false true true true true true true false X ZENITH AMERICAN SOLUTIONS 5106718800 1600 HARBOR BAY PKWY STE 200 alameda CA 94502 X RICHARD PIOMBO TRUSTEE (FORMER) 2.0 0.0 X 0 0 0 KEVIN J ALBANESE TRUSTEE 2.0 0.0 X 0 0 0 BRYAN K FLAKE TRUSTEE 2.0 0.0 X 0 0 0 STEVE CLARK TRUSTEE (FORMER) 2.0 0.0 X 0 0 0 THOMAS HOLSMAN TRUSTEE 2.0 0.0 X 0 0 0 TOM SQUERI TRUSTEE 2.0 0.0 X 0 0 0 LANCE INOUYE TRUSTEE 2.0 0.0 X 0 0 0 JAMES E MURRAY TRUSTEE/CO-CHAIRMAN 2.0 0.0 X 0 0 0 PANE MEATOGA TRUSTEE 2.0 0.0 X 0 0 0 RUSSELL E BURNS TRUSTEE/CO-CHAIRMAN 2.0 0.0 X 0 0 0 MIKE CROLL TRUSTEE 2.0 0.0 X 0 0 0 JUSTIN DISTON TRUSTEE 2.0 0.0 X 0 0 0 DAVID R STANTON TRUSTEE 2.0 0.0 X 0 0 0 BRUCE NOEL TRUSTEE 2.0 0.0 X 0 0 0 STEVE INGERSOLL TRUSTEE 2.0 0.0 X 0 0 0 DAN REDING TRUSTEE 2.0 0.0 X 0 0 0 JAMES SULLIVAN TRUSTEE 2.0 0.0 X 0 0 0 NATE TUCKER TRUSTEE 2.0 0.0 X 0 0 0 FG CROSTHWAITE TRUSTEE 2.0 0.0 X 0 0 0 DAVID HARRISON TRUSTEE 2.0 0.0 X 0 0 0 FRANK WILLIAMS TRUSTEE 2.0 0.0 X 0 0 0 PATTY DUTRA BRUCE TRUSTEE 2.0 0.0 X 0 0 0 0 0 0 0 false false false ANTHEM BLUE CROSS PO Box 629 WOODLAND HILLS CA 91365 CLAIMS ADMINISTRATOR 1306768 OPTUM RX 2300 MAIN ST IRVINE CA 92614 PRESCRIPTION ADMIN. 389655 MULTI-PLAN SERVICES AGENCY INC 1620 S LOOP RD ALAMEDA CA 94502 HEALTHCARE MGMT 691042 ZENITH AMERICAN SOLUTIONS 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 CONTACT ADMIN. 2197145 PART D ADVISORS 17199 N LAUREL PARK DR STE 400 LIVONIA MI 48152 PRESCRIPTION ADMIN 223685 7 0 EMPLOYER CONTRIBUTIONS 900099 76964388 76964388 PARTICIPANT CONTRIBUTIONS 900099 31494035 31494035 108458423 4516659 4516659 0 0 0 0 0 87185123 86759246 425877 425877 425877 0 0 0 0 0 0 0 0 0 MEDICARE DRUG SUBSIDY 900099 7362349 7362349 PRESCRIPTION REBATES 900099 13680810 13680810 STOP LOSS REIMBURSEMENTS 900099 614688 614688 396882 396882 22054729 135455688 130513152 4942536 0 0 0 109878325 0 0 0 0 0 0 2197145 48753 44700 0 0 401388 336639 0 47919 0 0 0 0 0 23686 0 0 0 44106 PROVIDER ADMINISTRATION FEES 1872912 MPSA INC. FEES 691042 MEDICAL REVIEW FEES 67008 MPSA FEES 241987 16742 115912352 10334512 16641902 3031528 2614374 0 0 29512672 23338626 0 0 0 0 0 0 0 0 8992 442 0 0 113290017 127595020 14367885 15470109 0 0 0 0 17382 0 170562988 185660473 1933906 4214089 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10678265 9165817 12612171 13379906 X 0 0 0 0 157950817 172280567 157950817 172280567 170562988 185660473 19543336 -5213586 X false true X true LIMITED PARTNERSHIP 15470109 F 15470109 0 BENEFIT OBLIGATIONS 9165817 9165817 X 130242102 -5213586 -5213586 135455688 135455688 117424800 117424800 -1512448 -1512448 115912352 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 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 XII, LINE 4B: CHANGE IN BENEFIT OBLIGATIONS. PART VI, SECTION A - LINE 1A: THE LABOR TRUSTEES AND THE MANAGEMENT TRUSTEES ARE THE TWO SEGMENTS OF THE GOVERNING BODY. EACH MEMBER OF THE GOVERNING BODY HAS THE POWER TO VOTE ON ALL MATTERS, HOWEVER, THE VOTES WITHIN EACH SEGMENT ARE ACCUMULATED AND A UNIT VOTE IS DETERMINED BASED ON THE MAJORITY OF VOTES WITHIN EACH SEGMENT. PART VI, SECTION A - LINE 8B: THE PLAN DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. PART VI, SECTION B - LINE 11B: THE PLAN'S 990 IS AVAILABLE ON THE TRUSTEE WEBSITE FOR REVIEW PRIOR TO FILING. PART VI, SECTION B - LINE 12C: THE QUARTERLY BOARD MEETING PROVIDES AN OFFICIAL VENUE FOR OFFICERS, DIRECTORS, AND TRUSTEES TO DISCLOSE SUCH INTERESTS THAT COULD GIVE RISE TO CONFLICT. PART VI, SECTION C - LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. ON AN ANNUAL BASIS, A FORM 5500 ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN IS FILED WITH THE DEPARTMENT OF LABOR. THIS REPORT IS AVAILABLE ON THEIR WEBSITE. PART VII, SECTION A - LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE PLAN. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE IRS BY THE RELATED TAX-EXEMPT ORGANIZATION. FOR ADDITIONAL INFORMATION, CONTACT THE THIRD-PARTY ADMINISTRATOR, ZENITH AMERICAN SOLUTIONS. BELOW IS THE RELATED ORGANIZATION THAT PAID COMPENSATION TO THE TRUSTEES: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL UNION NO. 3; EIN 94-0577785. SEE SUPPLEMENTAL INFORMATION N/A MULTI-PLAN SERVICES AGENCY 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 813751949 SHARED EXP CA 501(c)(3) 10 no false SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false true false true true SCHEDULE R, PARTS II, III AND IV: IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS, TAXABLE AS A PARTNERSHIP, CORPORATION OR TRUST: 3B Enterprises, Llc A & F Enterprises A And M Excavating A C Excavators Inc A Good Sign & Graphics Co. A M Stephens Construction Company Inc. A P & F Construction A R B Inc A Ruiz Const Co & Assoc Inc A.S. Mobile Mechanical Services A-1 Sweeping Service AAA Diesel Repair and Services Inc. Abbett Electric Corp Absl Construction AC Electric Company Acacia Erosion Control Inc Access Limited Construction ACCO Engineered Systems ACCU Construction Inc Accu-Bore Directional Drilling Ace Drilling And Excavation Ace Fence Company Acme Concrete Paving Action Crane And Trucking, Inc Adam Moreno & Sons Inc Admiralty Diesel Services Inc Advanced Boring Spec Advanced Drilling Works Inc Advanced Geosolutions Inc Advantage Demolition & Grading Inc AECOM Energy & Construction Inc Aerco Pacific Inc Agee Construction Corporation Aggregate Engineering, Inc. Ajw Construction Inc Akeff Const Services Inc Akima Construction Services Alb Incorporated Albert C Kobayashi Inc ALDRIDGE ELECRTIC INC Alex Sweeney Construction Aliquot Assoc Inc All American Construction, Inc All Valley Surveying, Inc Allen A Waggoner Construction Inc Allied Concrete Pumping Als Landclearing Inc Alta Engineering Group, Inc Amazon Const Inc American Civil Constructors American Concrete Placement, Inc. American Crane Rental American Integrated Services, Inc American Marine Corp American Pavement Systems Inc. American Paving Co American Piping & Boiler Co Ames Construction Ampco North, Inc Amports Andes Construction Andreini Bros Inc Andrew M Jordan, Inc. Dba A & B Construc Anrak Corp Antigo Const Inc Anvil Builders Anza Eng Corp APB GENERAL ENGINEERING Apco Asphalt Paving Co Apex Civil Engineering & Land Surveying Apex Fence Co Inc Apex Testing Laboratories Inc Appian Engineering APTIM & Environmental & Infrastructure Aquatic Designing Inc Arborlift, Inc. Argonaut Const Arisumi Brothers Inc Arnaudo Construction Inc. Arrow Construction A-S PIPELINES CO INC Aspen Developers Corp Assistance Recovery Program Assoc Eng Srvng Svcs Inc Associate Rental Services, Ltd Associated Crane, Llc Asta Const Co Atlantic Plant Maintenance Atlas Peak Const Austerman Inc. Avar Sas Avison Construction Inc Ayala Boring Inc Azco, Inc. Azul Works, Inc. B & C Asphalt Grinding Inc. B J Reess Enterprise B. Jackson Construction Badger Daylighting Corp Baker-Williams Eng Grp Baldry Bros Drilling Baldwin Con Co Inc Balfour Beatty Infrastructure Inc Barnard Bessac JV Barnhart Crane and Rigging Co. Barrys Backhoe Svc Bauman Landscape Bay Area Commercial Sweeping Bay Area Hydrovac, LLC Bay Area Lightworks, Inc Bay Cities Pav&grd Inc Bay Pacific Pipeline Bay Power, LLC Bcj Sand And Rock Corp Bcp 3d Inc Becho Inc Bedrock Excavating Inc. Beliveau Engineering Benchmark Engineering Inc Benders Tractor Repair Bentancourt Bros Construction, Inc. Berkel & Co Cntrctrs Inc Berkeley Cement Inc. Berkeley Concrete Pump Berkeley Ready Mix Co Berlogar Stevens & Associates Bestor Engineers Inc - B Rate Bfi Of California Inc Dba Ox Mountain La Big Valley Electric Bigge Crane & Rigging Bill Nelson General Engineering Const, I Bj Rees's Enterprise Bkf Bkf Engineers - A Rate Black Gold Paving & Sealing Blacktop Paving, Inc Blackwell General Eng Blasting Technology Inc Blue Iron Foundation & Shoring Llc Blue Iron Inc Bobs Tractor Repair Inc - Tier I Bockmon & Woody Electric Co Inc Bortolussi & Watkin, Inc. Bowman & Williams - Apprentice Rate Brad Dales Excavating Inc Brad Dales Excavating, Inc. Bradley Tanks, Inc Bragg Crane Bragg Crane & Rigging Brelje & Race Engineers Breneman, Inc. Brian H Smith Demolition & Excavating, I Bridgeway Civil Constructors Inc Brightview Landscape Development Brooklyn Sweeps, Inc. Broom Service Inc Brosamer & Wall, Inc Brothers Landscaping Brotherton Corporation Brown & Fesler, Inc. Bruce Carone Grdng & Paving Inc Bruns Belmont Construction Inc Bryant Surveys Inc Bsr Rentals Building & Const Trades Bultena Construction Company Busch Heavy Equipment Repair Llc Bush Engineering Inc Butte Water Dist C Aparicio Cement Contractors Inc C F & T & Available C F Archibald Pav Inc C J Peterson Service Inc C W Roen Const Co C2r Engineering, Inc Cabrillo Hoist Cahill Contractors Llc Cal Con Pumping Llc Cal Crush Corp Cal Electro Inc Cal Valley Construction Cal-Dorado Inc California Caisson & Shoring Inc California Compaction Corp California Concrete Pumping Inc. California Const Surveying Inc California Engineering Contrs Inc California Generator Service Corp California Prison Industry Authority California Spectra Instrumentation Inc California Trenchless Inc Calmat Company DBA Shamrock Materials Cal-Neva Construction Services Inc Cal-Safety Inc Camenzind Dredging Inc Campanella Corp Cano Excavating Company, Inc. Canyon Construction Canyon Springs Enterprises Capex Engineering Inc Caribou Energy Corporation Carlile Macy Inc Carlson Barbee & Gibson Carone & Co Inc Cascade Drilling, Inc Case Pacific Co Castle Concrete Pump Cazadoro Construction, Inc Celik Engineering Corp Cemex Cencal Services Inc Central Concrete Supply Co., Inc Central Concrete Supply Company Inc Central Sweeping Corporation Central Valley Asphalt Central Valley Engineering & Surveying Cggs Backhoe Service Charles W Davidson Co., Consulting Civil Chaudhary & Associates, Inc Cherne Contrctng Co Chester Bross Construction Co Cindy Trump Inc Dba Lindys Cold Planing Cinquini & Passarino Inc City Of San Jose Civil Eng Assoc Inc Civil Engineering Const Inc Civil Substations Inc Clark Bros Inc CLB Construction Clipper International Equip Co Inc Close Construction, Inc Cmz Of Hawaii Inc Cnsb Inc Dba Allstate Boring Cntrl State Lnd Svys Inc Coast Crane Co & Maxim Crane Works LP Coastside Concrete & Construction Inc Coffman Specialties Inc Colony Landscape Maintenance Columbia Electric Inc Commercial Power Sweep Inc Community Playgrounds Inc Community Tree Service Compass Equipment Inc CON QUEST CONTRACTORS INC Conco Cement Company Conco Pumping Conco West Inc Condon-Johnson & Assoc Connolly Crane Svc Consolidated Engineering Labs, Inc Construction & Turnaround Services, LLC Construction Survey Construction Testing Services Inc Conti Corporation dba Conti MEP Corp Cooper Engineering Inc Cooper, Thorne & Assoc Inc. Coral Construction Corey Delta Constructors Coughlin Co Coulter Gradall Country Builders Construction, Inc Cox & Cox Construction Cozart Bros Inc Crane Rental Service Crane Spec, Inc Cratus Inc Critchfield Pacific Inc Critical Weld Inspections Inc Cross Country HDI Crosstown Electrical & Data, Inc. Crystal Creek Aggregate Inc Cs Marine Cnstrctrs Inc Culver Group Inc Custom Crushing Industries Inc CVE DEMOLITION INC D & B Trenching D & D Pipelines Inc. D & L Pumping Service, Inc. D & M Equip Co D A Wood Construction, Inc. D D Laster Lndscap Cons D Garcia Exc & Paving D J Scheffler D S S Company D W Nicholson Corp D W Young Const Co Inc D.a.v.e. Sweeping Daleo Inc Danu Inc Darcy & Harty Constr Inc Darren Taylor Construction Dave Schirrick Company Llc David R. Copeland Enterprises David T Price Inc Dawson Mauldin Const Inc De Silva-Gates Cnst Lp Debolt Civil Eng Inc - Apprentice Rate Decker Landscaping, Inc. Dees Burke Engineering Constructors, Llc Dees-Hennessey Inc Dekay Demolition And Clearing Inc Del Monte Electric, Inc Delta Const Corp Delta Grinding Co, Inc Dba Diablo Grindi Delta Surveying Inc Delta Sweepers Delzer Pipeline Construction Demolition Services And Grading, Inc Dept of Corrections Desert Commercial Sweeping Inc Desilva Gates, Oliver Desilva, Gallgher Devincenzi Concrete Const DeWalt Corporation Dewitt Bros & Co Inc Dirt & Aggregate Interchange, Inc. Dirt Dynasty, Inc. Discovery Hydrovac Llc Disney Construction Inc DIVERSIFIED CONCRETE Diversified Crane Diversified Demolition Company Dixon Marine Dk Associates - Apprentice Rate Dk Environmental/mcnabb Construction Inc Dl Equip Co Inc Dlc Equipment Inc D-Line Constructors, Inc Dmc Llc Dmz Builders DOCON, INC Don Berry Const Don H Mahaffey Drilling Company Don Lawley Co Inc Don Pridmore & Son Don Tucker & Sons Dorfman Const Co Inc Doyles Work Co DPI INC. Dragados Usa Dragados/Flatiron West/Sukut JV Drill Tech Drilling & Shoring Inc Duke Sherwood Contr Dunton Construction Co Inc Duran & Venables Gen En Durans Paving Rentals Dutch Construction Inc Dwite C Forbush Inc Dx-10 Inc Dyer Corp dba Dyer All Terrain Excav. Dyk Prestressed Tanks Inc Dynomaster Inc/Diesel Master Inc E & Y Sweeping Inc E E Gilbert Const Inc Earthworks Pacific Eastern Sierra Sweeping ECAST Engineering Inc. Ecco Equip Corp Eco Bay Services Inc EDCO Enterprises, Inc Eddie Axner Construction Edward W Scott Elect Co Efficient Energy Concepts Elco Electric Inc Eldorado Excavation Inc Element 26 Contracting Eleven Engineering, Inc Elite Diesel Service Inc Elmer J Freethy Co Emmett's Excavation Grading And Paving Empire Engineering & Construction, Inc. Engelke Construction Inc Engeo Inc Enoch Smith Sons Co Environmental Design, Inc Environmental Remediation Se