2019-11-13T16:49:11-06:00 2018-12-31 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2018-01-01 476685299 KAISER FOUNDATION HEALTH PLAN INC RETIREE HEALTH AND WELFARE PLAN % STATE STREET BANK KAIS 5102716611 C/O STATE STREET BANK PO BOX 5100 BOSTON MA 022060001 JANICE MURPHY VP, PENSIONS & INV. 5102716611 2019-11-13 LAUREN E BENNETT P01787029 2673303000 167.68.125.77 23522320193175000046 2019-11-13 P 15799E5E96E25A23166EA57A97EA36F75A8B5160 6CFBC1E470B119DB9F0B0C745D98B714AAF1A9A1 2018 2020-01-14 16:20:31Z STATE STREET BANK PO BOX 5100 BOSTON MA 02206 240225369 false X N/A X 2014 CA SEE SCHEDULE O. 1 1 0 0 0 0 0 1000000000 0 88003508 240225369 0 0 1088003508 240225369 0 0 0 0 5006 7719 0 0 0 6411534 21742191 6416540 21749910 1081586968 218475459 4482669915 4325784332 0 0 4482669915 4325784332 X SEE SCHEDULE O. false false 0 0 0 THE PLAN PROVIDES FUNDING FOR THE PAYMENT OF BENEFITS TO ELIGIBLE PERSONS. 0 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 false false false false false false false false false false false true false false true 0 0 0 false false false false false false false X 1 1 false false false false false false false false false false false true false false false false false false CA X STATE STREET BANK 6176543003 PO BOX 5100 BOSTON MA 02206 STATE STREET BANK TRUST COMP TRUSTEE 1.0 0.0 X 7719 0 0 7719 0 0 0 false false false AETOS ALTERNATIVES MANAGEMENT LLC 2180 SAND HILL ROAD 410 MENLO PARK CA 94025 INVESTMENT MGMT 2230569 1 0 0 60373047 60373047 0 0 0 0 0 179852322 179852322 179852322 179852322 0 0 0 0 0 0 0 0 0 0 240225369 240225369 0 0 0 0 7719 0 0 0 0 0 44037 23638 50735 0 0 3817797 0 0 0 0 0 0 0 0 0 0 0 0 0 INTERNAL ADMIN FEES 537469 ACCRUED EXPENSES 15481649 FOREIGN INCOME TAX 1767086 OTHER EXPENSES 19780 21749910 263293802 159611005 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2171425 -66817978 0 0 4216862930 4222291145 0 0 0 0 0 0 341758 10700160 4482669915 4325784332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4482669915 4325784332 0 0 0 0 4482669915 4325784332 4482669915 4325784332 218475459 -375361042 X false false FORM 990, PART I, LINE 1 & PART III, LINE 1 THE KAISER FOUNDATION HEALTH PLAN INC. RETIREE HEALTH AND WELFARE PLAN HAS BEEN ESTABLISHED BY THE PLAN SPONSOR FOR THE EXCLUSIVE PURPOSES OF PROVIDING BENEFITS UNDER THE KAISER FOUNDATION HEALTH PLAN, INC. RETIREE HEALTH AND WELFARE PLAN INCLUDING, BUT NOT LIMITED TO (1) PAYING INSURANCE PREMIUMS FOR THE INSURED BENEFIT OPTIONS UNDER THE KAISER FOUNDATION HEALTH PLAN INC, INSURED WELFARE BENEFIT PLAN FOR RETIREES; (2) PAYING CLAIMS AND FUNDING THE PREMIUM SUBSIDY UNDER THE KAISER FOUNDATION HEALTH PLAN, INC. RETIREE MEDICAL PREMIUM SUBSIDY HEALTH REIMBURSEMENT ARRANGEMENT PLAN; (3) PAYING CLAIMS AND BENEFITS UNDER THE KAISER FOUNDATION HELATH PLAN, INC. SELF FUNDED HEALTH PLAN FOR RETIREES, AND (4) PAYING ADMINISTRATIVE EXPENSES FOR THE VEBA AND THE PLAN. FORM 990, PART VI, LINES 1A & 1B & PART VII THE PLAN SPONSOR IS THE KAISER FOUNDATION HEALTH PLAN, INC. THE TRUST IS ADMINISTERED BY THE PLAN SPONSOR IN ACCORDANCE WITH THE TERMS OF THE TRUST AGREEMENT. AS SUCH, THE VEBA DOES NOT HAVE A GOVERNING BODY THAT EXERCISES DISCRETION. FORM 990, PART VI, LINE 8 & LINES 12-15 THESE QUESTIONS ARE NOT APPLICABLE TO THIS TRUST. ADDITIONALLY, THE TRUST DOES NOT HAVE ANY EMPLOYEES, THEREFORE NO PROCESSES RELATED TO EMPLOYEE COMPENSATION ARE IN PLACE. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE ELECTRONIC COPY OF THE ORGANIZATION'S FORM 990 WAS PROVIDED TO THE TRUSTEE FOR REVIEW PRIOR TO THE FILING WITH THE IRS. KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA SUITE 15L OAKLAND CA 94612 941340523 HEALTH CARE CA 501(C)(3) 10 NA false false false false false false false false false false false false false false false false false false false false