2025-10-14T18:28:48-05:00 2024-12-31 542189926 Henningfield & Associates Inc 28296 Constellation Road Valencia CA 91355 990 2024-01-01 237100610 UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 711 FOOD EMPLOYERS BENEFIT FUND UNIT 8004534584 5251 GREEN STREET 200 MURRAY UT 84123 MICHAEL GITTINGS TRUSTEE 7126487112 2025-10-14 1 0 RANDY D HENNINGFIELD P01364367 6612953363 2024 2025-03-06 01:10:19Z MICHAEL GITTINGS 1201 N DECATUR LAS VEGAS NV 89108 70414048 0 X N/A X 1970 CA HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS 6 6 0 0 0 0 0 0 60664790 62983276 1499161 2820301 3653115 4610471 65817066 70414048 0 0 46182384 47564204 0 0 0 0 0 5256234 5133237 51438618 52697441 14378448 17716607 67335865 84231437 16216426 15226932 51119439 69004505 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS 0 0 52697441 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 52697441 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 160 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 X X SOUTHWEST SERVICE ADMINISTRATORS INC 8004534584 5251 GREEN STREET SUITE 200 MURRAY UT 84123 X IAN ADAMS TRUSTEE 10.00 X 0 0 0 BRENT BOHN TRUSTEE 10.00 X 0 0 0 MICHAEL GITTINGS TRUSTEE 10.00 X 0 0 0 EDUARDO ESCOTO TRUSTEE 10.00 X 0 0 0 DIONNE KLUG TRUSTEE 10.00 X 0 0 0 RUBEN PEREZ TRUSTEE 10.00 X 0 0 0 0 0 0 0 0 0 0 ANTHEM BLUE CROSS 25500 COMMERCENTRE DRIVE LAKE FORREST CA 92630 CASE MANAGEMENT AND UTILIZATION REVIEW 1738766 SOUTHWEST SERVICE ADMINISTRATORS INC 5251 GREEN STREET SUITE 200 MURRAY UT 84123 CONTRACT ADMINISTRATION 1489739 SEYFARTH SHAW 229 CENTURY PARK EAST SUITE 3500 LOS ANGELES CA 90067 LEGAL 199753 HORIZON ACTUARIAL SERVICES 420 EXCHANGE SUITE 260 IRVINE CA 92602 CONSULTANT 195485 SEGAL COMPANY 180 HOWARD STREET 1100 SAN FRANCISCO CA 94105 CONSULTANT 193906 8 EMPLOYER CONTRIBUTIONS 445100 59050083 59050083 PARTICIPANT CONTRIBUTIONS 445100 3682625 3682625 SUBROGATIONS 445100 250568 250568 62983276 2820301 2820301 PRESCRIPTION REBATES 445100 4302497 4302497 STOP LOSS RECOVERIES 445100 307974 307974 4610471 70414048 67593747 0 2820301 47564204 1489739 276476 56482 3000 189889 36076 117753 MEDICAL COST CONTAINMEN 2005630 CONSULTING 389392 ADMINISTRATION - DENTAL 179035 ADMINISTRATION - RX 155707 234058 52697441 14522682 5633509 7488317 8151428 94411 59546 45230455 70386954 67335865 84231437 148426 81932 16068000 15145000 16216426 15226932 X 0 0 0 0 51119439 69004505 51119439 69004505 67335865 84231437 17716607 168459 0 X 0 1 X 1 0 0 IBNR PAYABLE 6769000 ACCUM ELIG CREDITS PAYABLE 8376000 15145000 70579507 168459 168459 70411048 3000 3000 70414048 53617441 0 53617441 3000 -923000 -920000 52697441 Part XII, Line 4b - Other Adjustments: CHANGE IN IBNR & EXTENDED ELIGIBILITY -923,000. Form 990, Part VI, Section A, line 3 The trustees have contracted with a third party administrator to perform the everyday administration of the fund. Form 990, Part VI, Section B, line 11b A copy of Form 990 was presented to the trustees for review and signatures. Form 990, Part VI, Section C, line 19 Summary Annual Reports are provided to all participants annually. SPDs and audited financial statements are available from the administrator upon request, as well as the DOL website. Form 990, Part VII Contact Addresses for Officers, Directors, Etc IAN ADAMS - 1550 S. REDWOOD ROAD, SALT LAKE CITY, UT 84104. BRENT BOHN - 1421 S MANHATTAN AVE, FULLERTON, CA 92831. MICHAEL GITTINGS - 1201 N. DECATUR,, LAS VEGAS, NV 89108. EDUARDO ESCOTO - 1201 N. DECATUR,, LAS VEGAS, NV 89108. DIONNE KLUG - 1201 N. DECATUR,, LAS VEGAS, NV 89108. RUBEN PEREZ - 1201 N. DECATUR,, LAS VEGAS, NV 89108. ALBERTSON'S 1421 S MANHATTAN AVE FULLERTON CA 92831 204057706 RETAIL GROCERS CA C 0 SMITH' FOOD 4 LESS 4885 S 900 EAST SALT LAKE CITY UT 84117 870258768 RETAIL GROCERS CA C 0 UFCW LOCAL 711 1201 NORTH DECATUR LAS VEGAS NV 89108 880057132 LABOR UNION NV C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0