2019-08-15T12:23:08-05:00 2018-09-30 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 500 AUBURN HILLS MI 48326 990 2017-10-01 382243531 INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 324 HEALTH & WELFARE FUN INTE 2486414915 700 TOWER DRIVE NO 300 TROY MI 48098 SCOTT HART ACTING ADMINISTRATOR 2484510324 2019-08-15 1 LYNNE M HUISMANN P00053811 2483757100 2019-08-15 67.59.56.32 2019-08-15 09:50:10 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BCD91890B86AB1D1DA69BFC932A0D6ECC2ADE94B 2017 2019-02-21 02:37:17Z SCOTT HART 700 TOWER DRIVE NO 300 TROY MI 48098 14633843 0 X N/A X 1984 MI HEALTH AND WELFARE TRUST FUND PROVIDING MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 5 2 0 2 0 0 0 0 6060477 6822108 115500 240224 101672 12555 6277649 7074887 0 0 4462602 5756001 0 0 0 0 0 958003 1075921 5420605 6831922 857044 242965 11070743 11203122 9409129 3705643 1661614 7497479 NONE 0 0 COLLECTION OF CONTRIBUTIONS FROM PARTICIPATING EMPLOYERS AND REMITTANCE OF PREMIUMS AND CLAIMS TO INSURANCE COMPANIES AND CONTRACT BENEFIT ADMINISTRATORS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 10 0 1 0 0 0 0 0 0 0 X 5 2 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 X BENESYS INC 2488139800 700 TOWER DRIVE STE 300 TROY MI 48098 JOHN HEALY TRUSTEE 1.00 2.00 X 0 0 0 JEFF MCCARTHY TRUSTEE 1.00 48.00 X 0 92228 63165 THOMAS SCOTT TRUSTEE 1.00 53.50 X 0 115012 68383 JIM ARINI CHAIRMAN 1.00 48.00 X X 0 92228 63165 THOMAS BARKER SECRETARY 1.00 2.00 X X 0 0 0 0 299468 194713 0 0 1 0 BLUE CROSS BLUE SHIELD OF MICHIGAN PO BOX 2500 DETROIT MI 48231 ADMINISTRATION AND STOP LOSS FEES 272825 BENESYS INC 700 TOWER DRIVE TROY MI 48098 ADMINISTRATION OF HEALTH BENEFITS 238319 2 EMPLOYER CONTRIBUTIONS 811000 6822108 6822108 6822108 261688 261688 7537492 7558956 -21464 -21464 -21464 LIQUIDATED DAMAGES 900099 12555 12555 12555 7074887 6834663 0 240224 5756001 505516 16464 70650 422768 18485 7781 4886 17474 BANK CHARGES 10752 ORGANIZATION DUES 1025 DOCUMENT STORAGE FEE 120 6831922 1146864 1008167 1842483 1972858 113788 156750 139561 128677 7828047 7936670 11070743 11203122 920248 956865 8488881 2748778 9409129 3705643 X 0 0 0 0 1661614 7497479 1661614 7497479 11070743 11203122 X 242965 -131293 5724193 X X 0 1 X 1 0 0 CLAIMS INCURRED BUT NOT YET REPORTED 194334 FUTURE BENEFITS 1648998 OTHER POSTRETIREMENT BENEFIT OBLIGATION 905446 2748778 6943594 -131293 -131293 7074887 0 7074887 6831922 0 6831922 0 6831922 0 0 0 JEFF MCCARTHY TRUSTEE 0 92228 0 0 0 0 0 47028 0 16137 0 155393 0 0 THOMAS SCOTT TRUSTEE 0 115012 0 0 0 0 0 51820 0 16563 0 183395 0 0 JIM ARINI CHAIRMAN 0 92228 0 0 0 0 0 47028 0 16137 0 155393 0 0 FORM 990, PART VI, SECTION A, LINE 2 THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A "BUSINESS RELATIONSHIP". THE FUND IS ESTABLISHED AND MAINTANED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HARTLEY FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN TRUSTEES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WHICH HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO AND APPROVED BY THE CHAIRMAN AND THE ACTING ADMINISTRATOR, SCOTT HART. PART VI, LINE 12B ANNUALLY, THE BOARD OF TRUSTEES COMPLETES THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONNAIRE AND AUTHORIZES EXECUTION OF ITS MANAGEMENT REPRESENTATION LETTER TO THE FUNDS AUDITOR IN RESPECT TO THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE LOCATED AT THE FUND OFFICE UPON REQUEST. THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 OF ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. THE FUND DOES NOT HAVE A CONFLICT OF INTEREST POLICY. FORM 990, PART XI, LINE 9: CHANGE IN BENEFIT OBLIGATIONS 5,724,193. PART XII, LINE 2C THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT IN THE CURRENT YEAR. 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