2017-07-26T15:22:17-05:00 2016-12-31 470836395 DEBOER & ASSOCIATES PC 17330 WRIGHT ST STE 100 OMAHA NE 681302157 990 2016-01-01 470462667 IBEW LOCAL UNION NO 22NECA HEALTH & WELFARE FUND IBEW 4025923753 8960 L STREET SUITE 101 OMAHA NE 681271406 JOHN MCMAHON CHAIRMAN 4025923753 2017-06-27 true GENE DEBOER P01266184 4023335200 2017-06-27 BE5C28E0A01BF94A7BA3D28B8C16F84C59805DAF 5F250C6D6929D1A3A21E173A9656EBC38F33F259 2016 2021-01-29 14:40:06Z JOHN MCMAHON 8960 L STREET SUITE 101 OMAHA NE 681271406 45513460 false X WWW.22BENEFITS.COM X HEALTH PLAN 1960 NE PROVIDE HEALTH & WELFARE BENEFITS FOR MEMBERS OF THE PLAN. 6 6 39 0 0 17604624 18077968 1270647 1040657 0 18875271 19118625 0 19569630 18486993 0 0 0 1290003 1271856 20859633 19758849 -1984362 -640224 21799141 21428270 13376398 13615006 8422743 7813264 PROVIDE HEALTH & WELFARE BENEFITS FOR MEMBERS OF THE PLAN. false false 19663683 THE HEALTH & WELFARE FUND PROVIDES HOSPITAL AND MEDICAL BENEFITS AS WELL AS PRESCRIPTIONS TO 1728 COVERED MEMBERS AND THEIR DEPENDENTS. 85166 THE HEALTH & WELFARE FUND PROVIDES SHORT TERM DISABILITY BENEFITS FOR ACTIVE PARTICIPANTS WHO ARE INJURED OR SICK. 10000 THE HEALTH & WELFARE FUND PROVIDES A DEATH BENEFIT FOR ACTIVE PARTICIPANTS. 19758849 false false false false false false false false false true false false false true 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 true false false true 6 0 true 39 true false false false false false false X 6 6 false true false false false false false true true false false true false false false false false false X BENESYS INC 4025923753 8960 L ST SUITE 101 OMAHA NE 681271406 X JOHN MCMAHON CHAIRMAN 1.00 X X 0 0 0 STEVE MAYFIELD TRUSTEE 1.00 X 0 0 0 ALLAN HALE TRUSTEE 1.00 X 0 0 0 MIKE STOPAK TRUSTEE 1.00 X 0 0 0 BARRY MAYFIELD SECRETARY 1.00 X X 0 0 0 SCOTT LOVE TRUSTEE 1.00 X 0 0 0 false false false BLUE CROSS BLUE SHIELD OF NEBRASKA 7261 MERCY ROAD OMAHA NE 68180 CLAIMS PROCESS. 663218 BENESYS INC 8960 L STREET SUITE 101 OMAHA NE 68127 TPA 344158 2 HEALTH PLAN CONTRIBUTIONS 900099 18042700 18042700 MEDICARE PART D REIMBURSEMENT 900099 35268 35268 18077968 450641 450641 26984851 26394835 590016 590016 590016 19118625 18077968 1040657 18486993 344158 108509 39386 18864 715965 19310 2200 5929 352 10986 BANK FEES 5865 DUES EXPENSE 332 19758849 0 0 0 2569755 2538618 1192423 1836206 81220 83528 20485 18505 2332 1980 17913668 16928316 39743 39622 21799141 21428270 271251 413080 13105147 13201926 13376398 13615006 X 8422743 7813264 8422743 7813264 21799141 21428270 -640224 30745 X X false true X false false 20485 18505 1980 1980 ACCUM. ELIGIBILITY LIABILITY 8160000 HRA ACCOUNT LIABILITY 3219246 CLAIMS INCURRED NOT REPTD 1460000 CLAIMS PAYABLE 362680 13201926 19114102 30745 30745 19083357 35268 35268 19118625 19723581 19723581 35268 35268 19758849 SCHEDULE D, PAGE 4, PART XI, LINE 4B MEDICARE PART D REIMBURSEMENTS RECEIVED 35,268 SCHEDULE D, PAGE 4, PART XII, LINE 4B MEDICARE PART D REIMBURSEMENTS RECEIVED 35,268 FORM 990, PAGE 6, PART VI, LINE 3 THE FUND HAS CONTRACTED WITH A THIRD PARTY ADMISTRATOR TO MANAGE THE FUND. FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD OF TRUSTEES ARE GIVEN A COPY OF THE FORM 990 TO REVIEW BEFORE THE RETURN IS FILED. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ONLY TO PLAN PARTICIPANTS AT THE FUND OFFICE. OTHERWISE, NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 MEDICARE PART D REIMBURSEMENTS RECEIVED -35,268 MEDICARE PART D REIMBURSEMENTS RECEIVED 35,268 FORM 990, PART XII FORM 990, PART XII, LINE 2C - THE BOARD OF TRUSTEES DO NOT HAVE A SEPARATE AUDIT COMMITTEE BUT THE BOARD OF TRUSTEES DOES ASSUME DIRECT RESPONSIBILITY FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT. 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