2016-11-07T19:20:16-06:00 2015-12-31 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2015-01-01 237244353 UNITED FOOD AND COMMERCIAL WORKERS AND EMPLOYERS ARIZONA HEALTH & WELFARE TRUST % BARBARA RAY UNIT 6022493582 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 JAMES W NYGREN Trust Officer 6022493582 2016-11-03 true Edmond Avaness CPA P00966890 8187692010 2015 2017-02-10 21:41:12Z JAMES MCLAUGHLIN 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 167252435 false X N/A X 1968 AZ SEE SCHEDULE O 8 4 1156 0 0 0 0 135130202 149836041 341090 -94595 600218 477697 136071510 150219143 0 0 120032750 143844357 0 0 0 0 0 11355519 12030513 131388269 155874870 4683241 -5655727 38771548 51335120 43777209 57025417 -5005661 -5690297 X SEE SCHEDULE O false false THE UNITED FOOD AND COMMERCIAL WORKERS AND EMPLOYERS ARIZONA HEALTH AND WELFARE TRUST IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING MEDICAL-HOSPITAL, DENTAL, PRESCRIPTION, VISION, DISABILITY, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO PARTICIPANTS. 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 true false false false false false false false false false false false true false false true 4498 0 true 1156 true false false false false false false X 8 4 false false false false false false false true true false false true false false true true true false X BARBARA RAY 6022493582 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 X IAN ADAMS EMPLOYER TRUSTEE 4.0 0.0 X 0 0 0 DANNY K MA EMPLOYER TRUSTEE 4.0 0.0 X 0 0 0 JAMES NYGREN EMPLOYER TRUSTEE 4.0 0.0 X 0 0 0 FRANK STEGMAN EMPLOYER TRUSTEE 4.0 0.0 X 0 0 0 MARTIN HERNANDEZ UNION TRUSTEE 4.0 40.0 X 0 111011 11190 JAMES MCLAUGHLIN UNION TRUSTEE 4.0 40.0 X 0 237583 12390 AUTUMN MITCHELL UNION TRUSTEE 4.0 40.0 X 0 117535 12390 PAUL RUBIN UNION TRUSTEE 4.0 40.0 X 0 142931 6195 0 609060 42165 0 false true false SOUTHWEST SERVICE ADMINISTRATORS IN 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 ADMIN. SERVICES 4806593 CIGNA 7400 W 110 ST STE 400 OVERLAND PARK KS 66210 COST CONTAINMENT 2396892 BLUECROSS BLUESHIELD OF ARIZONA IN 2444 W LAS PALMARITAS DR PHOENIX AZ 85021 COST CONTAINMENT 402779 EMDEON BUSINESS SERVICES 12645 E Lupine Ave SCOTTSDALE AZ 852593400 POSTAGE & PRINTING 312297 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 91602 AUDIT PAYROLL FEES 311080 17 0 EMPLOYER CONTRIBUTIONS 900099 136117291 136117291 EMPLOYEE CONTRIBUTIONS 900099 8221206 8221206 SUPPLEMENTAL EMPLOYER CONTRIBUTIONS 900099 5497544 5497544 149836041 529354 529354 0 0 0 0 0 16409343 17033292 -623949 -623949 -623949 0 0 0 PREPAID DEDUCTIBLE ACCT PRG FORFEITURES 900099 454279 454279 CLASS ACTION SETTLEMENT 900099 22245 22245 ALL OTHER REVENUE 900099 1173 1173 477697 150219143 150313738 -94595 0 0 0 143844357 0 0 0 0 0 0 3782499 323530 311080 0 0 20447 592916 0 799778 0 0 0 0 0 78396 0 0 0 63887 MEDICAL NETWORK ACCESS FEES 1773155 ACA TRANSITIONAL REINSURANCE 1158240 CIGNA REPRICING CLAIM FEE 720307 SAVE PROGRAM FEES 681982 1724296 155874870 17831579 11196001 0 0 0 0 11036846 14266968 0 0 0 0 0 0 0 0 0 0 0 9903123 25872151 0 0 0 0 0 0 0 0 38771548 51335120 1990816 1709630 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41786393 55315787 43777209 57025417 X 0 0 0 0 -5005661 -5690297 -5005661 -5690297 38771548 51335120 X -5655727 -797226 5768317 X false true X true false 0 BENEFIT OBLIGATIONS 51959200 PREPAID DEDUCTIBLE ACCOUNT PROGRAM 3344852 ACCRUED INVESTMENT PURCHASES 11735 55315787 X 149421917 -797226 -797226 150219143 150219143 155874870 155874870 155874870 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. false false false JAMES MCLAUGHLIN UNION TRUSTEE 0 237583 3654 8736 0 249973 PART I AND III, LINE 1 - ORGANIZATION'S MISSION: THE UNITED FOOD AND COMMERCIAL WORKERS AND EMPLOYERS ARIZONA HEALTH AND WELFARE TRUST IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING MEDICAL-HOSPITAL, DENTAL, PRESCRIPTION, VISION, DISABILITY, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO PARTICIPANTS. PART VI, LINE 11B: FORM 990 IS PRESENTED FOR REVIEW AND SIGNATURE AT BOARD OF TRUSTEE MEETINGS. PART VI, LINES 15A AND 15B: THE BOARD OF TRUSTEES DO NOT RECEIVE COMPENSATION. THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR "KEY EMPLOYEES", AS DEFINED. PART VI, LINE 19: GOVERNING DOCUMENTS - NO DOCUMENTS AVAILABLE TO THE PUPLIC. FINANCIAL STATEMENTS - AUDITED STATEMENTS ARE ONLY AVAILABLE UPON REQUEST. PART XI, LINE 9: The Board of Trustees approved to merge New Mexico United Food and Commercial Workerss and Employers' Health and Welfare Trust Fund into this Plan, effective July 1, 2015. On the date of the merger, the net assets available for benefits transferred to this Plan amounted to $5,768,317. UFCW LOCAL NO 99 2401 N Central Ave Fl 2 Phoenix AZ 85004 860042052 LABOR UNION AZ 501(C)(5) N/A NA false false false false false false false false false false false false false false false false true false false false