2018-08-03T07:16:58-05:00 2017-12-31 350921680 CROWE LLP 175 POWDER FOREST DR SIMSBURY CT 06089 990 2017-01-01 042214296 MASSACHUSETTS LABORERS' HEALTH & WELFARE FUND MASS 7812721000 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 LOUIS MANDARINI III EXECUTIVE DIRECTOR 7812721000 2018-08-02 1 KRISTIN ANDERSON P01231300 8606789200 2017 2022-09-23 18:48:47Z LOUIS MANDARINI III 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 187512978 0 X N/A X 1952 MA TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS OF THE UNION, THEIR FAMILIES AND DEPENDENTS. 8 8 47 8 0 0 0 0 117489368 126208330 8026487 7886267 0 0 125515855 134094597 0 0 121882027 85896845 1819760 1839791 0 0 0 6045757 6387479 129747544 94124115 -4231689 39970482 405119724 445036194 228184674 201108676 176935050 243927518 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS OF THE UNION, THEIR FAMILIES AND DEPENDENTS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS OF THE UNION, THEIR FAMILIES AND DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 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 1 235 0 1 47 1 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LOUIS MANDARINI III EXECUTIVE DIRECTOR 7812721000 1400 DISTRICT AVENUE BURLINGTON MA 018035236 LOUIS MANDARINI JR CHAIRMAN 1.00 X X 0 0 0 JOSEPH BONFIGLIO CO-CHAIRMAN 1.00 X X 0 0 0 THOMAS J GUNNING CO-SECRETARY/TREASURER 1.00 X X 0 0 0 THOMAS C TROY JR TRUSTEE 1.00 X 0 0 0 MATTHEW MCCOURT TRUSTEE 1.00 X 0 0 0 DONALD C COOK JR TRUSTEE 1.00 X 0 0 0 STEVEN GENTILUCCI TRUSTEE 1.00 X 0 0 0 THOMAS ANDREWS TRUSTEE 1.00 X 0 0 0 BARRY MCANARNEY RET 32017 EXECUTIVE DIRECTOR 40.00 X 28886 35305 18914 KATE FOSSEL DIRECTOR OF H&W FUND 40.00 X 92178 0 40520 LOUIS MANDARINI III EXECUTIVE DIRECTOR 40.00 X 81000 99000 46308 202064 134305 105742 0 0 1 0 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 101 HUNTINGTON AVENUE BOSTON MA 021997611 NETWORK ACCESS/ADMINISTRATION 4383768 SEGAL COMPANY 116 HUNTINGTON AVENUE 8TH FLOOR BOSTON MA 02116 CONSULTING 256328 2 EMPLOYER CONTRIBUTIONS 525100 124171118 124171118 RETIREE AND COBRA CONTRIBUTIONS 525100 2037212 2037212 126208330 2767732 2767732 58536916 53418381 5118535 5118535 5118535 134094597 126208330 0 7886267 85896845 1262711 477925 99155 278317 66628 368453 557155 216344 16643 153102 18635 61977 132636 55757 BCBS ACCESS AND ADMIN. 4383768 MISCELLANEOUS EXPENSE 48637 RENTAL EXPENSE 24707 DUES AND SUBSCRIPTIONS 4720 94124115 9245569 17748621 11105912 13275074 19922 133100 1541056 1036847 290755 504209 384457566 409410787 0 3964403 405119724 445036194 4358223 3849942 223826451 197258734 228184674 201108676 X 0 0 0 0 176935050 243927518 176935050 243927518 405119724 445036194 39970482 27021986 0 X X 0 1 X 1 0 349602 107761 241841 1191454 929086 262368 504209 COMMON COLLECTIVE TRUSTS 245364026 F REGISTERED INVESTMENT COMPANIES 41767938 F LIMITED PARTNERSHIP 56715646 F LIMITED LIABILITY COMPANIES 26888664 F BONDS AND NOTES 13109415 F US GOVERNMENT SECURITIES 8662737 F MUNICIPAL BONDS 1790748 F POOLED SEPARATE ACCOUNT 15111613 F 409410787 LIABILITY FOR FUTURE BENEFITS 126654800 LIABILITY FOR UNPROCESSED CLAIMS AND IBNR 9489000 POST-RETIREMENT BENEFITS OBLIGATION 61114934 197258734 X 160748130 27021986 27021986 133726144 368453 368453 134094597 120323379 0 120323379 368453 -26567717 -26199264 94124115 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2017 AND 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2014. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS -26,567,717. X 0 0 0 LOUIS MANDARINI III EXECUTIVE DIRECTOR 81000 99000 0 0 0 0 0 0 20839 25469 101839 124469 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE INITIAL REVIEW OF THE FORM 990 IS PERFORMED BY THE ACCOUNTING/AUDITING DIRECTOR AFTER THE INDEPENDENT AUDITORS HAVE PREPARED AND PROCESSED THE TAX RETURN. THE EXECUTIVE DIRECTOR PERFORMS A FINAL REVIEW BEFORE THE FORM 990 IS FILED. AT THE FIRST BOARD MEETING FOLLOWING THE FILING OF THE RETURN, FORM 990 IS PRESENTED BY THE EXECUTIVE DIRECTOR, AT WHICH TIME THE BOARD DISCUSSES AND APPROVES THE RETURN AS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE AND MEMBER OF THE BOARD MUST ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT A COPY OF THE CONFLICT OF INTEREST POLICY WAS RECEIVED AND READ, AND ANY POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED. EACH TRUSTEE AND MEMBER MUST ALSO AFFIRM THAT THEY UNDERSTAND THE CONFLICT OF INTEREST POLICY AND AGREE TO COMPLY WITH ITS PROVISIONS. POTENTIAL CONFLICTS BROUGHT BEFORE THE BOARD ARE REVIEWED AND APPROPRIATE RESOLUTION, CORRECTIVE ACTION OR DISCIPLINARY ACTION IS TAKEN AS NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 A YEARLY MEETING IS HELD WITH THE ADMINISTRATIVE COMMITTEE AND THE BOARD OF TRUSTEES TO REVIEW PERFORMANCE AND TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FORM 990, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS, AND FOR THE SELECTION OF AN INDEPENDENT AUDITING FIRM. 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