2017-11-13T19:18:52-06:00 2016-12-31 MILLER KAPLAN ARASE LLP TWO EMBARCADERO CTR STE 2280 SAN FRANCISCO CA 941113916 990 2016-01-01 946096327 OPERATING ENGINEERS UNION 3 PENSIONED HEALTH & WELFARE FUND % ZENITH AMERICAN SOLUTIONS OPER 5106718800 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 JUSTIN DISTON trustee 5106718800 2017-11-08 true Catherine Gardner P00350865 4159563600 204.1.171.253 95416620173175000031 2017-11-13 P EFEF038C8C3FBB36EF58C84E4BE5A15DC5CB4839 895BD3731299A8643050337F2A99E55EAEE1AC5E 2016 2017-02-10 21:41:12Z X JUSTIN DISTON 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 197149757 false X N/A X 1962 CA TO PROVIDE HEALTHCARE BENEFITS DURING RETIREMENT TO ELIGIBLE OPERATING ENGINEERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS. 20 0 0 0 0 0 0 95849368 99983837 4270730 2667501 15414300 16452790 115534398 119104128 0 0 104483577 113886196 0 0 0 0 0 6720649 6878218 111204226 120764414 4330172 -1660286 146880283 154843581 8659076 15057130 138221207 139786451 TO PROVIDE HEALTHCARE BENEFITS DURING RETIREMENT TO ELIGIBLE OPERATING ENGINEERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS. false false TO PROVIDE HEALTHCARE BENEFITS DURING RETIREMENT TO ELIGIBLE OPERATING ENGINEERS COVERED BY COLLECTIVE BARGAINING AGREEMENTS. false false false false false false false false false false true false false true true 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 true false false true 3 0 true 0 false false false false false false X 20 0 false false false false false false false true false false false true true true true true true false X ZENITH AMERICAN SOLUTIONS 5106718800 1600 HARBOR BAY PKWY STE 200 alameda CA 94502 X RICHARD PIOMBO TRUSTEE/CO-CHAIRMAN 5.0 0.0 X 0 0 0 KEVIN J ALBANESE TRUSTEE 5.0 0.0 X 0 0 0 Bryan K Flake TRUSTEE 5.0 0.0 X 0 0 0 ROBERT DOUD TRUSTEE 5.0 0.0 X 0 0 0 THOMAS HOLSMAN TRUSTEE 5.0 0.0 X 0 0 0 TOM SQUERI TRUSTEE 5.0 0.0 X 0 0 0 LANCE INOUYE TRUSTEE 5.0 0.0 X 0 0 0 JAMES E MURRAY TRUSTEE 5.0 0.0 X 0 0 0 PANE MEATOGA TRUSTEE 5.0 0.0 X 0 0 0 RUSSELL E BURNS TRUSTEE/CO-CHAIRMAN 5.0 0.0 X 0 0 0 MIKE CROLL TRUSTEE 5.0 0.0 X 0 0 0 JUSTIN DISTON TRUSTEE 5.0 0.0 X 0 0 0 DAVID R STANTON TRUSTEE 5.0 0.0 X 0 0 0 BRUCE NOEL TRUSTEE 5.0 0.0 X 0 0 0 STEVE INGERSOLL TRUSTEE 5.0 0.0 X 0 0 0 DAN REDING TRUSTEE 5.0 0.0 X 0 0 0 JAMES SULLIVAN TRUSTEE 5.0 0.0 X 0 0 0 NATE TUCKER TRUSTEE 5.0 0.0 X 0 0 0 FG CROSTHWAITE TRUSTEE 5.0 0.0 X 0 0 0 DAVID HARRISON TRUSTEE 5.0 0.0 X 0 0 0 0 0 0 0 false false false ASSOCIATED THIRD PARTY ADMINISTRATO 1640 S LOOP RD ALAMEDA CA 94502 CONTRACT ADMIN. 2436345 ANTHEM BLUE CROSS PO Box 629 WOODLAND HILLS CA 91365 CLAIMS ADMINISTRATOR 1335519 OPTUM RX 2300 MAIN ST IRVINE CA 92614 PRESCRIPTION ADMIN. 453488 SEGAL CONSULTING 100 MONTGOMERY ST STE 500 SAN FRANCISCO CA 94104 CONSULTANT 160445 ZENITH AMERICAN SOLUTIONS 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 CONTACT ADMIN. 221450 5 0 EMPLOYER CONTRIBUTIONS 900099 63420647 63420647 PARTICIPANT CONTRIBUTIONS 900099 36563190 36563190 99983837 4308867 4308867 0 0 0 0 0 76404263 78045629 -1641366 -1641366 -1641366 0 0 0 0 0 0 0 0 0 MEDICARE DRUG SUBSIDY 900099 5241011 5241011 PRESCRIPTION REBATES 900099 10218359 10218359 STOP LOSS REIMBURSEMENTS 900099 849340 849340 144080 144080 16452790 119104128 116436627 2667501 0 0 0 113886196 0 0 0 0 0 0 2481625 47350 64920 0 0 364162 384566 0 198635 0 0 0 0 0 17888 0 0 0 38962 PROVIDER ADMINISTRATION FEES 1989174 MULTIPLAN SERVICE FEES 1076699 ACA TRANS REINSURANCE FEES 132552 PATIENT CTRD OUTCOMES FEES 31786 49899 120764414 6266150 8372638 2022064 3429921 0 0 14297235 21265591 0 0 0 0 0 0 0 0 8992 281468 0 0 109030074 108212926 15238386 13263655 0 0 0 0 17382 17382 146880283 154843581 870283 621860 0 0 240555 0 0 0 0 0 0 0 0 0 0 0 7548238 14435270 8659076 15057130 X 0 0 0 0 138221207 139786451 138221207 139786451 146880283 154843581 -1660286 3225530 X false true X true LIMITED PARTNERSHIP 13263655 F 13263655 0 BENEFIT OBLIGATIONS 14435270 14435270 X 122329658 3225530 3225530 119104128 119104128 113877382 113877382 6887032 6887032 120764414 PART X, LINE 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a position that more likely than not would not be sustained upon examination by a tax authority. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. PART XII, LINE 4B: CHANGE IN BENEFIT OBLIGATIONS. PART VI, SECTION A - LINE 1A: THE LABOR TRUSTEES AND THE MANAGEMENT TRUSTEES ARE THE TWO SEGMENTS OF THE GOVERNING BODY. EACH MEMBER OF THE GOVERNING BODY HAS THE POWER TO VOTE ON ALL MATTERS, HOWEVER, THE VOTES WITHIN EACH SEGMENT ARE ACCUMULATED AND A UNIT VOTE IS DETERMINED BASED ON THE MAJORITY OF VOTES WITHIN EACH SEGMENT. PART VI, SECTION A - LINE 8B: THE PLAN DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. PART VI, SECTION B - LINE 11B: THE PLAN'S 990 IS AVAILABLE ON THE TRUSTEE WEBSITE FOR REVIEW PRIOR TO FILING. PART VI, SECTION B - LINE 12C: THE QUARTERLY BOARD MEETING PROVIDES AN OFFICIAL VENUE FOR OFFICERS, DIRECTORS, AND TRUSTEES TO DISCLOSE SUCH INTERESTS THAT COULD GIVE RISE TO CONFLICT. PART VI, SECTION C - LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. ON AN ANNUAL BASIS, A FORM 5500 ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN IS FILED WITH THE DEPARTMENT OF LABOR. THIS REPORT IS AVAILABLE ON THEIR WEBSITE. PART VII, SECTION A - LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE PLAN. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE IRS BY THE RELATED TAX-EXEMPT ORGANIZATION. FOR ADDITIONAL INFORMATION, CONTACT THE THIRD-PARTY ADMINISTRATOR, ZENITH AMERICAN SOLUTIONS. BELOW IS THE RELATED ORGANIZATION THAT PAID COMPENSATION TO THE TRUSTEES: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL UNION NO. 3; EIN 94-0577785. SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false true false true true SCHEDULE R, PARTS II, III AND IV: IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS, TAXABLE AS A PARTNERSHIP, CORPORATION OR TRUST: 3 Brothers Construction & Rental, Inc. 3B Enterprises, Llc A & J Belting A And M Excavating A C Excavators Inc. A C L Construction Co Inc. A J Diani Const Co Inc. A M Backhoe A M G Pipeline Inc. A R B Inc. A Ruiz Const Co & Assoc Inc. A.S. Mobile Mechanical Services A-1 Sweeping Service Abbett Electric Corp Absl Construction Access Limited Construction Accu-Bore Directional Drilling Ace Fence Company Acme Concrete Paving Action Crane And Trucking, Inc. Adam Moreno & Sons Inc. Adams & Smith Inc. Admiralty Diesel Scvs Inc. Advanced Drilling Works Inc. Advanced Enterprises Advanced Geosolutions Inc. Aerco Pacific Inc. Ag - Tech, Inc. Agee Construction Corporation Aggregate Industries Swr, Inc. AGL Landscapes Ajw Construction Inc. Akeff Const Services Inc. Akima Construction Services Alarcon-Bohm Alb Inc.orporated Albert C Kobayashi Inc. ALDRIDGE ELECRTIC Inc. A-Legacy Construction, Llc Alex Sweeney Construction Aliquot Assoc Inc. All American Construction, Inc. All Valley Surveying, Inc. Allen A Waggoner Construction Inc. Allied Concrete Pumping Allied West Construction Co. Allison Sierra Inc. Als Landclearing Inc. Alta Engineering Group, Inc. Alta Irrigation District Amazon Const Inc. American Bridge/fluor A Joint Venture American Civil Constructors American Concrete Placement, Inc. American Crane Rental American Integrated Services, Inc. American Marine Corp American Pavement Systems Inc. American Paving Co American Piping & Boiler Co Ames Construction Ampco North, Inc. Andes Construction Andregg Geomatics Inc. Andreini Bros Inc. Andrew M Jordan, Inc. Dba A & B Construc Annuzzi Concrete Services, Inc. Anrak Corp Antigo Const Inc. Antioch Paving Co Inc. Anvil Builders Anza Eng Corp Apadana Engineering, Inc. Apco Asphalt Paving Co Apex Civil Engineering & Land Surveying Apex Fence Co Inc. Apex Testing Laboratores Inc. Appian Engineering APPRENTICE TRAINING - TECH ENGINEERS Aquatic Designing Inc. Arborlift, Inc. Areva Np, Inc. Argonaut Const Arisumi Brothers Inc. Arrow Construction A-S PIPELINES CO Inc. Asbestos Management Group Of Ca Aspen Developers Corp Assistance Recovery Program Assoc Eng Srvng Svcs Inc. Associate Rental Services, Ltd Associated Crane, Llc Asta Const Co Atlantic Plant Maintenance Atlas Copco-Mining, Rock Excavation & Co Atlas Peak Const AUBURN CRANE Austerman Inc. Avar Sas Avison Construction Inc. Ayala Boring Inc. Azul Works, Inc. B & C Asphalt Grinding Inc. B J Reess Enterprise Badger Daylighting Corp Bagoye & King Baja Exploration Baker-Williams Eng Grp Baldry Bros Drilling Baldwin Con Co Inc. Balfour Beatty Infrastructure Inc. Balfour Beatty Rail Balfour Beatty/ Gallagher & Burk Jv Barone's Equipment Inc. Barrys Backhoe Svc BARTLEY PUMP Inc. Bauman Landscape Bay Area Drilling Bay Area Engineering, Inc. Bay Area Tree Specialists Bay Cities Pav&grd Inc. Bay Pacific Pipeline Bay Power Bcj Sand And Rock Corp Bcp 3d Inc. Becho Inc. Bedrock Excavating Inc. Beebe Diversified Lp Benchmark Civil Construction Benchmark Engineering Inc. Benders Tractor Repair Benson Industries, Inc. Bentancourt Bros Construction, Inc. Benton Engineering Berkel & Co Cntrctrs Inc. Berkel & Company Contractors Inc. Berkeley Cement Inc. Berkeley Concrete Pump Berkeley Ready Mix Co Berlogar Stevens & Associates Bert's Backhoe Services Inc. Bestor Engineers Inc. - B Rate Bfi Of California Inc. Dba Ox Mountain La Big J Construction Big Valley Electric Bigge Crane & Rigging Bilardi Construction Inc. Bill Nelson General Engineering Const, I Bj Rees's Enterprise Bkf Bkf Engineers - A Rate Black Gold Paving & Sealing Blasting Technology Inc. Blattner Energy, Inc. Blue Iron Foundation & Shoring Llc Blue Iron Inc. Bobs Tractor Repair Inc. -Tier I Bockmon & Woody Electric Co Inc. Bortolussi & Watkin, Inc. Bouthilliers Construction, Inc. Bowman & Williams -Apprentice Rate Brad Dales Excavating Inc. Bragg Crane Bragg Crane & Rigging Brake Parts Inc. Brazo Backhoe Brelje & Race Engineers Breneman, Inc. Brian H Smith Demolition & Excavating, I Bridgeway Civil Constructors Inc. Brightview Landscape Development Broom Service Inc. Brosamer & Wall, Inc. Brotherton Corporation Bruce Carone Grdng & Paving Inc. Bryant Surveys Inc. Building & Const Trades Bultena Construction Company Busch Heavy Equipment Repair Llc Bush Engineering Inc. C Aparicio Cement Contractors Inc. C C Myers Inc. C F & T & Available C F Archibald Pav Inc. C J Peterson Service Inc. C R Meyer And Sons Company C V Larsen Co C W Roen Const Co C2r Engineering, Inc. Ca - Operating Engineers H&w Trust Fund Cabrillo Hoist Cahill Contractors Llc Cal Con Pumping Llc Cal Crush Corp Cal Valley Construction Caliber Equipment Rental California Caisson & Shoring Inc. California Compaction Corp California Concrete Pumping Inc. California Const Surveying Inc. California Construction Surveying Inc. California Engineering Contrs Inc. California Generator Svc Copr California Spectra Instrumentation Inc. California Trenchless Inc. Calmat Company DBA Shamrock Materials Cal-Neva Construction Services Inc. Cal-Neva Excavators Cal-Safety Inc. Caltest Const Svcs Camenzind Dredging Inc. Campanella Corp Canyon Construction Canyon Springs Enterprises Capex Engineering Inc. Cargill Salt Co Caribou Energy Corporation Carlile Macy Inc. Carlson Barbee & Gibson Carone & Co Inc. Cascade Drilling L.P. Cascade Tower & Rigging Inc. Case Pacific Co Castle Concrete Pump Cats 4 U Cazadoro Construction, Inc. Cb&i Environmental & Infrastructure CBI Services Inc. Celik Engineering Corp Cemex Cemex Attn: Mei Cheng Central Concrete Supply Co., Inc. Central Concrete Supply Company Inc. Central Dispatch Central Sweeping Corporation Central Valley Asphalt Central Valley Engineering & Surveying CES Controlled Environmental Services Cggs Backhoe Service Charles W Davidson Co., Consulting Civil Chaudhary & Associates, Inc. Cherne Contrctng Co Chester Bross Construction Co Chip's Backhoe Service Cindy Trump Inc. Dba Lindy's Cold Planing Cinquini & Passarino Inc. City Of San Jose Civil Eng Assoc Inc. Civil Engineering Const Inc. CJA-HDCC JV Clark Bros Inc. Clark Pacific Cleveland Wrecking Co Clipper International Equip Co Inc. Cmz Of Hawaii Inc. Cnsb Inc. Dba Allstate Boring Cntrl State Lnd Svys Inc. Coast Counties Truck & Equip Co Coleman Construction Coleman Environmental Const Collins Construction Colony Landscape Maintenance Columbia Electric Inc. Commercial Power Sweep Inc. Community Playgrounds Inc. Compass Equipment Inc. Compass Equipment Services Of Nv CON QUEST CONTRACTORS Inc. Conco Cement Company Conco Pumping Conco West Inc. Condon-Johnson & Assoc Connolly Crane Svc Consolidated Engineering Labs, Inc. Consolidated Security Integration Inc. Construction Survey Construction Testing Services Inc. Contract Drilling & Blasting Llc Cooper, Thorne & Assoc Inc. Coral Construction Coralco Corp Corey Delta Constructors Corless Inc. Coughlin Co Country Builders Construction, Inc. Cox & Cox Construction Cozart Bros Inc. Cratus Inc. Critical Weld Inspections Inc. CRJ WATER TRUCK SERVICE Cross Country Hdi Crystal Creek Aggregate Inc. Cs Marine Cnstrctrs Inc. Ct Unlimited, Inc. Ctm Construction Inc. Culver Group Inc. Cupertino Electric Curtis Drilling Co Custom Crushing Industries Inc. CVE DEMOLITION Inc. D & B Trenching D & D Pipelines Inc. D & L Pumping Service, Inc. D & M Equip Co D A Builders, Llc D A Wood Construction, Inc. D D Laster Lndscap Cons D Garcia Exc & Paving D Lopez Jr Concrete D R Brown Excavation & Paving D S S Company D W Young Const Co Inc. D.a.v.e. Sweeping Daleo Inc. Dan Electric Daniel Kyf Chong Contracting Dba Dc Cont Danu Inc. Darcy & Harty Constr Inc. Darren Taylor Construction Dave Schirrick Company Llc David Evans & Assoc Inc. David R. Copeland Enterprises David T Price Inc. Dawson Mauldin Const Inc. Dck Pacific Construction Llc De Silva-Gates Cnst Lp Debolt Civil Eng Inc. -Apprentice Rate Decker Landscaping, Inc. Dees Burke Engineering Constructors, Llc Dees-Hennessey Inc. Dekay Demolition And Clearing Inc. Delhur Industries Inc. Delta Const Corp Delta Construction Co Delta Grinding Co, Inc. Dba Diablo Grindi Delta Surveying Inc. Delta Sweepers Demolition Services And Grading, Inc. Dept of Corrections Derr & Gruenewald Construction, Co Desert Commercial Sweeping Inc. Desilva Gates, Oliver Desliva, Gallgher DevInc.enzi Concrete Const Dewalt Corporation Dewitt Bros & Co Inc. Dewitt Construction, Inc. Dgs Direct Constructions Unit Diablo Contractors Inc. Diamond Plumbing Co Inc. Dielco Crane Service Inc. Dig It Construction, Inc. Dirt & Aggregate Interchange, Inc. Dirt Dynasty, Inc. Disability Discovery Hydrovac Llc Disney Construction Inc. DIVERSIFIED CONCRETE Diversified Crane Diversified Demolition Company Dixon Marine Dk Associates -Apprentice Rate Dk Environmental/mcnabb Construction Inc. Dl Equip Co Inc. Dlc Equipment Inc. D-Line Constructors, Inc. Dmc Llc Dmz Builders Don Berry Const Don Garcia Excavating & Paving Don H Mahaffey Drilling Company Do STITCH CONSTRUCTION INC Titan Electrical Contracting, Inc. Tko General Eng And Construction, Inc. Tlis Llc Tm Demolition Inc. TMT ENTERPRISES Inc. Tokunaga Masonry Inc. Tom Mayo Const, Inc. Towill Inc. Townsend Management, Inc. Trask Equipment Co Tri County Grading & Paving Tri Valley Excavating Triangle Excavation Trinet Construction Inc. True Line Construction Services, Llc Truxell & Valentino Landscape Developmen Tucker Engineering Inc. Tullis Inc. Tutor-Perini Corporation Tutor-Saliba Corp Tuttle Excavation Inc. Twining Inc. Tyack Construction Tyrrell Resources, Inc. Underground Construction Co Underwater Resources Inc. Unified Field Services Corporation Universal Building Svcs Unlimited Environmental Inc. Usa Hoist U-Save Rockery Of Morgan Hill Uss Cal Builders, Inc. Utah District 12 H & W Utah Valley Transportation Constructors V Power Valentine Corp Valley Crest Crane Service, Llc Valley Demolition Inc. Valley Excavation Inc. Valley Precision Grading Inc. Valley Trenching Inc. Valverde Construction Inc. Vanguard Construction Vbe, Inc. Vellutini Corporation Dba Royal Electric Ventana Engineering And Construction Inc. Vertical Earthworks Vichon & Wolff Llc Viking Const Co Inc. Viking Drillers Inc. Vintage Paving Co Vision Recycling Vista Construction Services Vortex Diving Inc. VSS INTERNATIONAL Inc. Vulcan Construction & Maintenance Inc. Vulcan Materials Vulcan Materials Company, West Region W C Maloney Inc. W K Mclellan Co W M Lyles Company W R Forde Assoc W Valley Const Co Inc. W W Clyde & Co Wabo Landscape & Construction, Inc. Wades Heavy Equipment Repair Wadsworth Brothers Construction Wahlund Const Co Walker-Moody Asphalt Maintenance Waller Inc. Walsh / Shea Corridor Constructors Walsh Construction Company Ii, Llc Walter C Smith Co Inc. Wards Concrete, Inc. Warm Springs Constructors Water Rock Construction Wattis Construction Co Watts Constructors, Llc Wayne Swisher Cem Cont Wcs Webcor Constructn Inc. Weber General Engineering, Inc. West Coast Boring Inc. West Coast Contractors West Coast Cranes West Coast Drilling West Coast Turf West Diving Services West Valley Construction Western Grinding Western Pipe Coaters & Engineering Inc. Western Steel Erectors Western Trenchless Inc. Western Water Constructors Inc. Westside Underground Wgn Inspection Services Llp Wheeler Machinery Co White Construction Whitney Industrial Services Llc Willow Hawk, Inc. Wilsey & Ham Wioe Local 370 - Montana Operating Engin Wolin Excavation, Inc. Wood Rodgers Inc. Woodward Drilling Company Yarbs Grading And Paving Inc. YELLOW JUNK REPAIR Yerba Buena Engineering Y's Equipment Rental Inc. Zamborelli Drilling Co Inc. Zefiro Corporation Zoe Builders, Inc.