2025-11-14T12:44:51-06:00 2024-12-31 990 2024-01-01 911285759 Carrix Inc Benefits Trust % ROXANNE CLAWSON CARR 2066230304 1131 SW Klickitat Way Seattle WA 98134 Jaime Neal CFO 2066230304 2025-11-12 true 2024 2025-03-06 01:10:19Z Jaime Neal 1131 SW Klickitat Way Seattle WA 98134 32960487 false X N/A X 1982 OR PROVIDES MEDICAL, DENTAL, PHARMACEUTICAL AND VISION BENEFITS TO ELIGIBLE MEMBERS AND MAY COVER THEIR DEPENDENTS 3 0 0 0 0 0 29998701 32325543 420632 634944 0 0 30419333 32960487 0 0 25038298 29594056 0 0 0 0 0 2605004 3856433 27643302 33450489 2776031 -490002 14355396 15931587 2861736 4927929 11493660 11003658 PROVIDES HEALTHCARE BENEIFTS TO ELIGIBLE MEMBERS AND MAY COVER THEIR DEPENDENTS false false 33450489 32960487 PROVIDES MEDCIAL, DENTAL, PHARMACEUTICAL AND VISION BENEFITS TO ELIGIBLE MEMBERS AND MAY ALSO COVER THEIR DEPENDENTS. THIS PLAN ALSO COVERS HEALTH BENEFITS FOR CERTAIN RETIRED, DISABLED & TERMINATED EMPLOYEES. 33450489 false false false false false false false false false false false false true false 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 false 0 0 0 false false false false false false false false X 3 0 true false false false false false false true true false false true true false false true false false X ROXANNE CLAWSON 2064428697 1131 SW KLICKITAT WAY SEATTLE WA 98134 X Uffe Ostergaard CEO 0.0 0.0 X 0 0 0 Jaime Neal CFO 0.0 0.0 X 0 0 0 Brant Rigby VP Human Resources 0.0 0.0 X 0 0 0 0 0 0 0 false false false Premera Blue Cross PO BOX 91060 SEATTLE WA 98111 Claims Administrator 1013713 Mercer Consulting 1301 Fifth Avenue SEATTLE WA 98101 Plan Consultant 114715 Delta Dental 9706 Fourth Avenue NE SEATTLE WA 98115 Dental Claims Admini 122477 Vision Service Plan PO Box 742430 LOS ANGELES CA 900742430 Claims Administrator 435131 Express Scripts One Express Way SAINT LOUIS MO 63121 Claims Processor 123574 5 0 EMPLOYER CONTRIBUTIONS 900099 31398456 31398456 EMPLOYEE CONTRIBUTIONS 900099 927087 927087 32325543 634944 634944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32960487 32960487 0 0 0 29594056 29594056 0 0 0 0 0 0 114715 114715 0 20500 20500 0 0 0 1737829 1737829 0 0 0 0 0 0 0 0 0 0 0 1983389 1983389 33450489 33315274 135215 140021 310920 11180275 12118792 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3035100 3501875 14355396 15931587 2861736 4927929 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2861736 4927929 X 0 0 0 0 11493660 11003658 11493660 11003658 14355396 15931587 -490002 X false true true false EMPLOYER CONTRIBUTION REC 2445088 CLAIMS RECOVERY REC 924550 PARTICIPANT CONTRIBUTION REC 10083 ACCRUED INCME 45700 OTHER RECEIVABLE 76454 3501875 32960487 32960487 32960487 31551190 31551190 1899299 1899299 33450489 PART XII, Line 4a Other additional claims for Tax Purposes - $1,899,299 PART VI, SECTION B, LINE 11b Form 990 is prepared by the plan sponsor, Carrix, Inc. As part of the preparation process, the Form 990 instructions are reviewed. As part of the review process, the plan sponsor conducts a review of the entire Form 990 to ensure that it is complete and accurate. The plan sponsor will consult with a professional advisor if necessary. The Trustees are provided a copy of the completed Form 990 for their information and review. PART VI, SECTION C, LINE 19 The filing organization is a VEBA, exempt under section 501(c)(9), and issues audited Financials each year. Neither the Financial Statements nor the governing documents are made available to the general public by the plan sponsor. However, the audited Financial Statements are attached to the Form 5500, and the financial information is reported on both the Form 990 and the Form 5500. The Form 5500 is open for public inspection. The financial information is also reported to each participant of the VEBA annually via the Summary Annual Report. Any member of the VEBA plan can also request and receive a full copy of the audited financial statements along with copies of the Form 990 and the Form 5500 directly from the plan sponsor. The plan sponsor has adopted a conflict of interest policy that spells out the situations to avoid and the procedure for disclosing conflicts or potential conflicts of interest to a Manager, the Legal Department and Human Resources. The organization also has an Employee Guide that includes all Business Principals & Values, Business Practices, Employment Practices & Policies, Information and Technology Policies and Employee Benefits and is available to all employees on both the Employee Community Portal and the Employee Self Service Portal located in the HCM system. This Guide meets the requirements of the Federal Employee Retirement Income Security Act of 1974 (ERISA). The Employee Benefits section covers various topics such as membership eligibility, what medical, dental & vision benefits are and are not covered by the plan, information about plan administration that includes appeal rights and the procedures for making an appeal. The VEBA uses a third party claims administrator and professional advisors to ensure that its benefits and procedures are properly administered on behalf of all members.