2017-04-17T16:32:23-05:00 2016-06-30 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 981011261 990 2015-07-01 916034673 WASHINGTON TEAMSTERS WELFARE TRUST % BLAIR FOWLER WASH 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 RICK HICKS TRUSTEE 2063294900 2017-04-12 true Crane Curran P01499738 2065963930 2015 2021-01-29 14:40:06Z RANDY ZEILER 2323 EASTLAKE AVE E SEATTLE WA 98102 295119918 false X N/A X 1958 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE EMPLOYEES OF PARTICIPATING EMPLOYERS. 20 4 0 0 0 0 0 272201240 288635524 3524334 4484844 0 0 275725574 293120368 0 0 269874903 273390652 0 0 0 0 0 13297349 13208990 283172252 286599642 -7446678 6520726 149237881 159870118 90295150 95480543 58942731 64389575 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE EMPLOYEES OF PARTICIPATING EMPLOYERS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE EMPLOYEES OF PARTICIPATING EMPLOYERS. false false false false false false false false false false 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 4649 0 true 0 false false false false false false X 20 4 false false false false false false false true true false false false true true true true true false X BLAIR FOWLER 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 X TAMARA KNAPP HANCOCK TRUSTEE 2.0 0.0 X 0 0 0 RANDY ZEILER TRUSTEE 2.0 0.0 X 0 0 0 JERRY D'AMBROSIO TRUSTEE 1.0 0.0 X 0 0 0 DOUG RUYGROK TRUSTEE 1.0 0.0 X 0 0 0 SCOTT KLITZKE POWERS TRUSTEE 1.0 0.0 X 0 0 0 H L RAVENSCRAFT TRUSTEE 2.0 0.0 X 0 0 0 BRIAN ISOM TRUSTEE 1.0 0.0 X 0 0 0 RICK HICKS TRUSTEE 2.0 0.0 X 0 0 0 JOHN EMRICK TRUSTEE 2.0 0.0 X 0 0 0 RICH EWING TRUSTEE 2.0 0.0 X 0 0 0 STEVEN CHANDLER TRUSTEE 2.0 0.0 X 0 0 0 DARREN O'NEIL TRUSTEE 1.0 0.0 X 0 0 0 JOHN SCEARCY TRUSTEE 1.0 0.0 X 0 0 0 SCOTT SULLIVAN TRUSTEE 1.0 0.0 X 0 0 0 STEVE MANUSZAK TRUSTEE 2.0 0.0 X 0 0 0 LEONARD CROUCH TRUSTEE 1.0 0.0 X 0 0 0 MARK FULLER TRUSTEE 1.0 0.0 X 0 0 0 VAL HOLSTROM TRUSTEE 1.0 0.0 X 0 0 0 RUSSELL SHJERVEN TRUSTEE 1.0 0.0 X 0 0 0 TERRY ANN BODWIN TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 ADMIN AND INV MGMT 10168528 CIGNA HEALTH AND LIFE INSURANCE CO 900 COTTAGE GROVE RD BLOOMFIELD CT 06002 CASE MANAGEMENT 5255092 MEDIMPACT HEALTHCARE SYSTEMS INC 3882 W SALINAS DR RIVERTON UT 84065 CASE MANAGEMENT 957245 DELTA DENTAL OF WASHINGTON 9706 FOURTH AVE NE SEATTLE WA 98155 CASE MANAGEMENT 901350 GROUP HEALTH OPTIONS 950 PACIFIC AVE STE 900 TACOMA WA 98402 CASE MANAGEMENT 687108 5 0 EMPLOYER CONTRIBUTIONS 900099 287886400 287886400 COBRA CONTRIBUTIONS 900099 749124 749124 288635524 4484394 4484394 0 0 0 0 0 2000000 1999550 450 450 450 0 0 0 0 293120368 288635524 4484844 0 0 0 273390652 0 0 0 0 0 0 9082922 93079 526631 0 0 130608 191895 0 254492 0 0 0 0 0 32094 0 0 0 59911 ACA REINSURANCE FEES 1523526 ACA PCORI FEES 73608 PPO NETWORK AND REVIEW 1076141 REPRICING FEE 164083 286599642 228550 956139 0 0 0 0 24521073 25457915 0 0 0 0 0 0 0 0 37386 28873 0 124450872 133427191 0 0 0 0 0 0 0 0 149237881 159870118 742770 668543 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89552380 94812000 90295150 95480543 X 0 0 0 0 58942731 64389575 58942731 64389575 149237881 159870118 6520726 -1073882 X false true X true 0 BENEFIT OBLIGATIONS 90812000 PAYABLES FOR SECURITIES PURCHASED 4000000 94812000 X 292046486 -1073882 -1073882 293120368 293120368 285340022 285340022 1259620 1259620 286599642 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 tax 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: INCREASE IN BENEFIT OBLIGATIONS. PART VI, LINE 11B: THE FORM 990 REVIEW PROCESS INVOLVES AN INITIAL REVIEW PERFORMED BY THE ADMINISTRATIVE OFFICE, THEN CO-COUNSEL IS ASKED TO REVIEW BEFORE GOING TO THE CO-CHAIRS FOR FINAL REVIEW AND APPROVAL FOR FILING. THE FILING IS NOTED AT THE SUBSEQUENT BOARD MEETING GIVING THE REST OF THE TRUSTEES AN OPPORTUNITY TO REVIEW AND COMMMENT. PART VI, LINE 12C: ANY TRUSTEE OR SERVICE PROVIDER AUTHORIZED TO CONDUCT TRANSACTIONS ON BEHALF OF THE TRUST WHO HAS REASON TO BELIEVE THAT A CONFLICT OF INTEREST MIGHT CONSTITUTE A PROHIBITED TRANSACTION IS OBLIGATED TO CONSULT WITH TRUST COUNSEL. TRUSTEES ARE ALSO REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. PART VI, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. ADDITIONALLY, FINANCIAL STATEMENTS ARE DISTRIBUTED TO THE TRUSTEES ON A REGULAR BASIS. PART VII, LINE 1A, COLUMNS (E) and (F): THE BOARD OF TRUSTEES SERVE WITHOUT COMPENSATION. THE PLAN DOES NOT MAINTAIN THE INFORMATION ON COMPENSATION FROM RELATED ORGANIZATIONS BUT BELIEVES THAT SUCH COMPENSATION, IF ANY, IS APPROPRIATELY REPORTED ON THE RETURNS OF THOSE ORGANIZATIONS. SEE PART VII - SUPPLEMENTAL INFORMATION SEE PART VII - SUPPLEMENTAL INFORMATION SEE PART VII - SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false false false false true PARTS II, III AND IV - IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS TAXABLE AS A PARTNERSHIP, CORPORATION OR TRUST: THE ADMINISTRATIVE OFFICE DOES NOT MAINTAIN THIS INFORMATION FOR THE PLAN'S CONTRIBUTING EMPLOYERS. PLEASE CONTACT THE ADMINISTRATIVE OFFICE IF YOU HAVE ANY QUESTIONS.