2019-05-04T10:40:46-05:00 2018-06-30 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2017-07-01 956474516 SOUTHERN CALIFORNIA DRUG BENEFIT FUND % TRACY SHANNON SOUT 3236668910 2220 HYPERION AVE LOS ANGELES CA 90027 ANDREA ZINDER chairman 3236668910 2019-04-30 true Douglas Waite P00350864 8187692010 12.244.147.122 95416620191245000001 2019-05-04 P 09CEDCC3F0D5A45DB6FADFBB8553433F8A4203FD 1D553F0CC161CAB4950D5232994D4871B352D586 2017 2019-02-21 02:37:17Z ANDREA ZINDER 2220 HYPERION AVE LOS ANGELES CA 90027 105482417 false X WWW.UFCWDRUGTRUST.ORG X 1974 CA SEE SCHEDULE O 9 0 4 0 0 0 0 0 94799671 104307834 974225 1174583 0 0 95773896 105482417 0 0 95382454 97789208 2383812 2406097 0 0 0 3486220 3347499 101252486 103542804 -5478590 1939613 71760791 76123294 30181350 32501938 41579441 43621356 X SEE SCHEDULE O false false SEE SCHEDULE O 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 16 0 true 4 true false false false false false false 9 0 false false false false false false false true true false false true false false true false false false X TRACY SHANNON 3236668910 2220 HYPERION AVE LOS ANGELES CA 90027 X X MARYANNE MALZONE-MILLER EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 ABRAHAM BRESLIN EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 STEPHANIE SCIURBA EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 RICK BRUER UNION TRUSTEE 1.0 0.0 X 0 0 0 KATHY FINN UNION TRUSTEE 1.0 0.0 X 0 0 0 MICKEY KASPARIAN UNION TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL A STRAETER UNION TRUSTEE 1.0 0.0 X 0 0 0 ANDREA ZINDER UNION TRUSTEE 1.0 0.0 X 0 0 0 mark ramos union trustee 1.0 0.0 X 0 0 0 0 0 0 0 false false false anthem blue cross of california 3075 vandercar way CINCINNATI OH 45209 managed care admin 635800 delta dental of california 17871 park plaza dr ste 200 CERRITOS CA 90703 dental admin 290141 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 91602 AUDITOR 194625 the segal group inc 180 howard st ste 1100 SAN FRANCISCO CA 94105 consultant 194566 optum rx 11000 optum cir EDEN PRAIRIE MN 55344 prescription admin 182625 5 0 EMPLOYER CONTRIBUTIONS 900099 100032744 100032744 EMPLOYEE SELF-PAYMENTS 900099 3332216 3332216 RETIREE SELF-PAYMENTS 900099 942874 942874 104307834 1174583 1174583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105482417 104307834 1174583 0 0 0 97789208 0 0 1633821 92060 551873 128343 0 171121 195454 0 0 22283 1793418 0 329266 0 0 116923 0 0 9442 0 0 0 90535 LOC. UN. INS. DEP. ADM. EXP. 511766 ALLOCATED DEPRECIATION EXP. 55928 PCORI FEES 45562 EMPLOYEES' EXPENSES 5801 103542804 1295 1557 12485653 15758004 0 0 9080142 9095486 0 0 0 0 0 0 0 0 17326 17326 0 0 50176375 51250921 0 0 0 0 0 0 0 0 71760791 76123294 1578896 1093594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28602454 31408344 30181350 32501938 X 0 0 0 0 41579441 43621356 41579441 43621356 71760791 76123294 1939613 102302 X false true X true false 0 PREMIUMS PAYABLE 39877 CLAIMS PAYABLE 3244000 EST. CLAIMS INCURRED BUT NOT 0 REPORTED 5760000 EST. FUTURE BENEFITS BASED ON 0 ACCUM. ELIGIBILITY 22364467 31408344 X 105584719 102302 102302 105482417 105482417 100736914 28602454 28602454 72134460 31408344 31408344 103542804 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 xii, line 2d: june 30, 2017 benefit obligations $28,602,454 part xii, line 4b: june 30, 2018 benefit obligations $31,408,344 PART I, LINE 1 AND PART III, LINES 1 AND 4A: THE SOUTHERN CALIFORNIA DRUG BENEFIT FUND IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING HOSPITAL - MEDICAL, CHEMICAL DEPENDENCY TREATMENT, DENTAL, ORTHODONTIC, PSYCHIATRIC, PRESCRIPTION, PREDICTIVE MEDICINE, DEATH, SUPPLEMENTAL UNEMPLOYMENT AND DISABILITY, INDUSTRY VACATION, VISION AND OTHER BENEFITS TO ACTIVE EMPLOYEES AND THEIR DEPENDENTS; AND HOSPITAL - MEDICAL, PRESCRIPTION AND DEATH BENEFITS TO RETIRED EMPLOYEES AND THEIR DEPENDENTS. PART I, LINE 5; PART V, LINES 2A AND 2B; PART IX, LINES 7-10: THE PLAN HAS NO STATUTORY EMPLOYEES, HOWEVER, FORMS W-2/W-3 WERE FILED FOR PLAN PARTICIPANTS WHOSE REGISTERED DOMESTIC PARTNERS RECEIVED BENEFITS FROM THE PLAN. THE SALARIES AND WAGES, PENSION PLAN CONTRIBUTIONS, OTHER EMPLOYEE BENEFITS AND PAYROLL TAX REPORTED IN PART IX WERE ALLOCATED TO THIS PLAN BY A RELATED ORGANIZATION, SEE SCHEDULE R. PART VI, LINE 11B: THE BOARD OF TRUSTEES REVIEWS THE FORM 990 AND UPON APPROVAL, DESIGNATES AND AUTHORIZES AN INDIVIDUAL TO SIGN THE RETURN. PART VI, LINE 12A: THE PLAN IS AN EMPLOYEE BENEFIT TRUST SUBJECT TO THE FIDUCIARY AND PROHIBITED TRANSACTION RULES OF ERISA SECTIONS 404 AND 406, 29 U.S.C. SECTIONS 1104 AND 1106. PART VI, LINES 15A AND 15B: MEMBERS OF THE BOARD OF TRUSTEES RECEIVE NO COMPENSATION. THE PLAN DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES. PART VI, LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. THE SUMMARY PLAN DESCRIPTION IS DISTRIBUTED TO ALL PARTICIPANTS. THE FINANCIAL STATEMENTS ARE DISTRIBUTED TO ALL TRUSTEES AND PROFESSIONAL ADVISORS AND UPON REQUEST TO OTHER INTERESTED PARTIES. THE SUMMARY ANNUAL REPORT WITH ERISA - REQUIRED FINANCIAL INFORMATION IS PROVIDED TO ALL PARTICIPANTS ANNUALLY. PART VII, COLUMNS (E) AND (F): ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM RELATED TAX-EXEMPT ORGANIZATIONS IS AVAILABLE ON THOSE ORGANZATIONS' FORM 990. SC UFCW UNIONS AND DRUG EMP PENSION FD 2220 HYPERION AVE LOS ANGELES CA 90027 516029925 EE BENEFIT PL CA 501(A) N/A NA false SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false true true true false false false SC UFCW UNIONS & DRUG EMPLOYERS PENSION FUND N 116923 ACTUAL COST SC UFCW UNIONS & DRUG EMPLOYERS PENSION FUND O 1615141 ACTUAL COST SC UFCW UNIONS & DRUG EMPLOYERS PENSION FUND P 1656121 ACTUAL COST PART III AND PART IV, LINE 1: THE PLAN HAS forty-seven CONTRIBUTING EMPLOYERS WHOSE INFORMATION IS AVAILABLE AT THE ADMINISTRATIVE OFFICE.