2017-05-18T19:42:05-05:00 2016-07-31 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 98101 990 2015-08-01 910597991 Painters Trust % BENESYS ADMINISTRATION PAIN 2065189730 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 DENIS SULLIVAN Co-Chairman 2065189730 2017-05-12 true Crane Curran P01499738 2065963930 2015 2021-01-29 14:40:06Z X Stacey Grund 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 89786277 false X N/A X 1952 WA The plan is a multiemployer health and welfare plan designed to provide benefits for eligible participants and beneficiaries as specified in the plan document. 10 0 0 0 0 0 0 51488394 61374758 1964268 1599364 0 0 53452662 62974122 0 0 46993585 54886046 0 0 0 0 0 4887552 5132964 51881137 60019010 1571525 2955112 77070240 82143385 23457314 21836474 53612926 60306911 The plan is a multiemployer health and welfare plan designed to provide benefits for eligibile participants and beneficiaries as specified in the plan document. false false The plan is a multiemployer health and welfare plan designed to provide benefits for eligible participants and beneficiaries as specified in the plan document. false 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 0 0 0 false false false false false false X 10 0 false false false false false false false true true false false false true true true false true false X BENESYS ADMINISTRATION 2065189730 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 X Stacey Ground Co-Chairman 1.0 0.0 X 0 0 0 Steve Malcolm EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Jeremy Gibson EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Tom Pfundstein EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Bob Puzas EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Todd Koch UNION TRUSTEE 1.0 0.0 X 0 0 0 John Smirk UNION TRUSTEE 1.0 0.0 X 0 0 0 Denis Sullivan Co-Chairman 1.0 0.0 X 0 0 0 Doug Wagner UNION TRUSTEE 1.0 0.0 X 0 0 0 Dave Winkler UNION TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false ZENITH AMERICAN SOLUTIONS 201 QUEEN ANNE AVE N STE 100 SEATTLE WA 98109 ADMINISTRATOR 1736478 AETNA 600 UNIVERSITY ST STE 920 SEATTLE WA 98101 CLAIMS ADMINISTRATOR 1288493 INNOVATIVE CARE MANAGEMENT PO BOX 22386 PORTLAND OR 97269 UTILIZATION REVIEW 288398 ENVISION RX OPTIONS 2181 E AURORA RD STE 201 TWINSBURG OH 44087 CLAIMS ADMINISTRATOR 248500 THE URBAN LAW FIRM 4270 S DECATUR BLVD STE A-9 LAS VEGAS NV 89103 ATTORNEY 146203 5 0 EMPLOYER CONTRIBUTIONS 900099 59074929 59074929 SELF PAY CONTRIBUTIONS 900099 2299829 2299829 61374758 1930352 1930352 0 0 0 0 0 26481167 26812155 -330988 -330988 -330988 0 0 0 0 62974122 61374758 1599364 0 0 0 54886046 0 0 0 0 0 0 1604058 322995 235344 0 0 161197 2146230 0 193767 0 0 0 0 0 58604 0 0 0 36125 TRANSITIONAL REINSURANCE FEES 355412 PCORI FEES 19232 60019010 -166234 204721 10587854 10753245 0 0 4371244 5189820 0 0 0 0 0 0 0 0 9925 9925 0 62267451 65985674 0 0 0 0 0 0 0 0 77070240 82143385 1001755 448824 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22455559 21387650 23457314 21836474 X 0 0 0 0 53612926 60306911 53612926 60306911 77070240 82143385 X 2955112 843910 2894963 X false true X true 0 BENEFIT OBLIGATIONS 21292467 ORGANIZATIONS 95183 21387650 X 63818032 843910 843910 62974122 62974122 59823733 59823733 195277 195277 60019010 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 PLAN'S CPA PREPARED THE FORM 990 WHICH IS REVIEWED BY THE PLAN ADMINISTRATOR AND PRESENTED TO A DESIGNATED TRUSTEE TO REVIEW AND APPROVE PRIOR TO FILING. THE FULL BOARD CAN REQUEST COPIES OF THE COMPLETED 990. PART VI, LINE 12C: TRUSTEES ARE REQUIRED TO NOTIFY THE PLAN 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 AT THE PLAN OFFICE AND ARE AVAILABLE ON REQUEST. PART VII, SECTION A - COMPENSATION OF OFFICERS: THE BOARD OF TRUSTEES SERVE FOR NO COMPENSATION. SALARIES AND WAGES PAID TO TRUSTEES BY THEIR EMPLOYERS ARE REPORTED ON THE EMPLOYERS' PAYROLL TAX FILINGS AND THIS INFORMATION IS NOT REPORTED OR KNOWN TO THE PLAN ADMINISTRATOR. PART XI, LINE 9: Plan Merger in the amount of $2,894,963. SEE PART VII - SUPPLEMENTAL INFORMATION NA SEE PART VII - SUPPLEMENTAL INFORMATION NA SEE PART VII - SUPPLEMENTAL INFORMATION NA false false false false false false false false false false false false false false false false false true true PARTS II, III, IV: A CONTRIBUTING EMPLOYER IS A RELATED ORGANIZATION SOLELY TO THE EXTENT THAT THE EMPLOYER IS SIGNATORY TO A COLLECTIVE BARGAINING AGREEMENT REQUIRING CONTRIBUTIONS TO THE PLAN OR OTHERWISE SUBSCRIBES IN WRITING TO THE PLAN. CONTRIBUTING EMPLOYERS PAY A CONTRIBUTION RATE FOR COVERED EMPLOYEES' BENEFIT COVERAGE AS DETERMINED UNDER COLLECTIVE BARGAINING. INFORMATION REQUIRED TO COMPLETE SCHEDULE R FOR EACH CONTRIBUTING EMPLOYER AND RELATED ORGANIZATIONS IS NOT KNOWN OR REPORTED TO THE PLAN ADMINISTRATOR. THE ADMINISTRATIVE COSTS OF OBTAINING AND REPORTING THIS INFORMATION WOULD REQUIRE THE EXPENDITURE OF PLAN ASSETS THAT OTHERWISE ARE USED TO PROVIDE BENEFITS TO PARTICIPANTS.