2017-01-16T00:00:00-06:00 2016-02-29 341087273 LublinSussman Group LLP 3166 N Republic Blvd Toledo OH 43615 990 2015-03-01 316029682 Ohio Conference of Teamsters and Industry Health and Welfare Trust OHIO 4192543322 435 South Hawley Street Toledo OH 43609 David Tuttle Trustee 4192543322 2017-01-17 1 Lee D Wunschel P00088726 4198412848 2015 2021-01-29 14:40:06Z 435 South Hawley Street Toledo OH 43609 90594412 0 X n/a X 1959 OH Voluntary Employee Benefit Association 6 6 0 0 0 0 0 0 32934023 35464943 2401929 2477415 27584 33990 35363536 37976348 0 0 33068823 36510854 272560 273670 0 0 0 1055077 934929 34396460 37719453 967076 256895 98148828 97011022 5372659 6400639 92776169 90610383 Voluntary Employee Benefit Association 0 0 Provision of health, life, dental, vision and temporary disability benefits for enrolled members of collective bargaining units and their eligible dependents. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 0 1 405 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Ken Lochtefeld 4192543322 435 South Hawley Street Toledo OH 43609 X Brian Van Matre Trustee 0.00 X 0 0 0 Travis Bornstein Trustee 0.00 X 0 0 0 David Tuttle Trustee 0.00 X 0 0 0 William Lichtenwald Trustee 0.00 X 0 0 0 James D Gilmore Trustee 0.00 X 0 0 0 James W Bishop Trustee 0.00 X 0 0 0 0 0 0 0 0 0 0 Medical Mutual of Ohio 2060 East Ninth St Cleveland OH 44115 Administrator 873093 Forty Four Corporation 435 S Hawley Toledo OH 43609 Rent & Shared Exp 425400 MetLife 177 South Commons Drive Aurora IL 60504 Administrator 284635 United Healthcare 5901 Lincoln Drive Edina MN 55436 Administrator 196558 Union Labor Life Insurance Co 8403 Colesville Rd Silver Spring MD 20910 Life Insurance 193709 7 Employer Contribution 900099 34972669 34972669 Employee Contribution 900099 492274 492274 35464943 2566017 2566017 52529462 52618064 -88602 -88602 -88602 Admin Fee Income 900099 26906 26906 Misc. Income 900099 7084 7084 33990 37976348 35464943 0 2511405 36510854 207094 37960 28616 60992 66070 18536 28452 10644 12394 17287 Reinsurance Program 205876 Trust Agent Fee 171140 Computer Expense 121692 Benefit Consulting Fee 80885 140961 37719453 80024 160877 2324051 2568475 25690 30790 217689 160740 53775 56949 95665288 94193931 98148828 97011022 164659 197639 5208000 6203000 5372659 6400639 X 0 0 0 0 92776169 90610383 92776169 90610383 98148828 97011022 256895 -2422681 0 X 0 1 X 1 0 217689 160740 56949 56949 Prescription Drug Claims 134640 Health Claims Payable 987360 Claims Incurred/ Not Reported 4488000 Extended Liability Reserve 593000 6203000 X 35553667 -2422681 -2422681 37976348 0 37976348 36724454 0 36724454 995000 995000 37719454 Part X, Line 2: The Plan has determined that there are no uncertain tax positions that require disclosure in these financial statements under the FASB Accounting Standards Codification topic Income Taxes. The tax years 2012 through 2015 are subject to possible examination by the Internal Revenue Service. Part XII, Line 4b - Other Adjustments: Increase in Benefit Obligation 995,000. Part I Line 1 Provision of health, life, dental, vision and temporary disability benefits for enrolled members of collective bargaining units and their eligible dependents Form 990, Part VI, Section A, line 8b Line 9 explanation - Line 8b is not applicable as the organization does not have a committeee with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 Line 11a explanation - All trustees are provided with a draft copy of the 990 for their review. After approval has been given by each of the trustees, the 990 is filed. Form 990, Part VI, Section B, line 12c Conflicts of interest are monitored by the board at the board meetings as issues are brought before the board. Completion of conflict of interest disclosures forms are addressed on the board meeting agenda. Form 990, Part VI, Section C, line 19 The organization provides its governing documents, conflict of interest policy, and financial statements to the public upon request at the Union office.