2018-10-10T12:05:39-07:00 2017-12-31 931015766 BJORKLUND & MONTPLAISIR CPA'S 9020 SW WASHINGTON SQ RD SUITE 46 PORTLAND OR 97223 990 2017-01-01 936090239 SCHOOL DISTRICT NO 1 HEALTH AND WELFARE TRUST FUND SCHO 2063294900 700 NE MULTNOMAH ST SUITE 350 PORTLAND OR 972324197 TERRI BURTON TRUSTEE 2063294900 2018-10-02 true RICHARD A LAYNE P00359754 5036436400 2018-10-10 74.203.59.35 2018-10-10 14:05:39 CD P DB4B1E074543423735CD570429D626CC3B6B6E83 DB4B1E074543423735CD570429D626CC3B6B6E83 2017 2018-06-14 16:35:46Z TERRI BURTON 700 NE MULTNOMAH ST SUITE 350 PORTLAND OR 97232 85792740 false X SDTRUST.COM X 1972 OR TO PROVIDE HEALTH AND LIFE INSURANCE BENFITS TO PARTICIPANTS, AS DEFINED IN VARIOUS COLLECTIVE BARGAINING AGREEMNETS, AND THEIR ELIGIBLE SPOUSES AND DEPENDENTS IN ACCORDANCE WITH THE TERMS OF THE BENEFIT PLANS OFFERED. 12 12 0 0 0 12271185 84543864 -100783 600467 2366 12170402 85146697 0 12138487 82805190 0 0 0 326948 1859103 12465435 84664293 -295033 482404 40837197 43395935 29353525 31049057 11483672 12346878 X TO PROVIDE HEALTH AND LIFE INSURANCE BENFITS TO PARTICIPANTS, AS DEFINED IN VARIOUS COLLECTIVE BARGAINING AGREEMNETS, AND THEIR ELIGIBLE SPOUSES AND DEPENDENTS IN ACCORDANCE WITH THE TERMS OF THE BENEFIT PLANS OFFERED. false false TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false false false false false false false false false false false false true false 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 false false false true 113 0 0 false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false X X NORTHWEST ADMINISTRATOS INC 2067263239 2323 EASTLAKE AVENUE E SEATTLE WA 981023305 X LEONARD ANDERSON TRUSTEE 1.00 X 0 0 0 PAUL ANTHONY TRUSTEE 1.00 X 0 0 0 BELINDA REAGAN TRUSTEE 1.00 X 0 0 0 TERRI BURTON TRUSTEE 1.00 X 0 0 0 SUZANNE COHEN CHAIR PERSON 1.00 X X 0 0 0 MARTY PAVLIK TRUSTEE 1.00 X 0 0 0 JOHN BERKEY TRUSTEE 1.00 X 0 0 0 MICHELLE BATTEN TRUSTEE 1.00 X 0 0 0 RUSS PETERSON TRUSTEE 1.00 X 0 0 0 PAT CHRISTENSEN TRUSTEE 1.00 X 0 0 0 LARRY WARREN TRUSTEE 1.00 X 0 0 0 LAIRD CUSACK TRUSTEE 1.00 X 0 0 0 MEI LEE TRUSTEE 1.00 X 0 0 0 false false false REGENCE BLUECROSS BLUE SHIELD OF OR PO BOX 1271 PORTLAND OR 972071271 CLAIMS ADMIN. 659723 NORTHWEST ADMINISTRATORS INC 700 NE MULTNOMAH ST SUITE 350 PORTLAND OR 97232 CONTRACT ADMIN. 434796 MERCER HUMAN RESOURCE CONSULTING 111 SW COLUMBIA STREET PORTLAND OR 97201 CONSULTANT 275754 3 EMPLOYER CONTRIBUTIONS 81811242 81811242 PARTICIPANT CONTRIBUTIONS 2732622 2732622 84543864 345233 345233 901277 646043 255234 255234 255234 MISCELLANEOUS 2366 2366 2366 85146697 85146697 82805190 434796 52900 26300 437590 39132 151115 30360 CLAIMS ADMINISTRATION 678855 FICA TAX EXPENSE 4846 PCORI TAX 3209 84664293 0 0 0 804619 1403637 19831561 20974284 9486551 8032144 261613 1701566 10452853 11284304 40837197 43395935 113405 86169 3687695 5127951 25552425 25834937 29353525 31049057 X 11483672 12346878 11483672 12346878 40837197 43395935 482404 380802 X false true X true false DEFERRED INCOME UNDER RESERVE POLICY 14241315 INSURANCE PREMIUMS PAYABLE 5567309 CLAIMS PAYABLE 3106313 CLAIMS INCURRED BUT NOT REPORTED 2920000 25834937 85527499 380802 380802 85146697 85146697 84730020 84730020 -65727 -65727 84664293 SCHEDULE D, PAGE 4, PART XII, LINE 4B DECREASE IN BENEFIT OBLIGATIONS -65,727 FORM 990, PAGE 2, PART III, LINE 4D TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. FORM 990, PAGE 6, PART VI, LINE 11B TRUSTEES REVIEW FORM 990 AND ASK QUESTIONS OF THE PREPARER PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C TRUSTEES ARE REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. FORM 990, PAGE 6, PART VI, LINE 15A NO COMPENSATION IS PAID FORM 990, PAGE 6, PART VI, LINE 15B NO COMPENSATION IS PAID. FORM 990, PAGE 6, PART VI, LINE 19 THE TRUST DOCUMENT, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE TRUSTS' OFFICE AND ARE AVAILABLE UPON REQUEST.