2016-11-15T00:00:00-06:00 2015-12-31 231980475 KREISCHER MILLER 100 WITMER ROAD SUITE 350 HORSHAM PA 190442369 990 2015-01-01 222471827 AWW CO INC & ITS DESIGNATED SUB AFFIL GROUP INSURANCE TRUST AMER 8563465895 1025 LAUREL OAK ROAD VOORHEES NJ 08043 MARK MORTON VP, COMPENSATION AND BENEFITS 8563465895 2016-11-16 1 BRAD FREDERICK P00686625 2154414600 2015 2017-02-10 21:41:12Z MARK MORTON 1025 LAUREL OAK ROAD VOORHEES NJ 08043 87080154 0 X N/A X 1983 PA THE TRUST IS A VOLUNTARY EMPLOYEE'S BENEFICIARY ASSOCIATION (THE "VEBA") ESTABLISHED BY AMERICAN WATER WORKS COMPANY INC. (THE COMPANY). THE COMPANY AND PARTICIPANTS FUND THE VEBA SOLELY TO PROVIDE GROUP INSURANCE, EMPLOYEE ASSISTANCE AND LONG-TERM DISABILITY BENEFITS TO THE COMPANY'S EMPLOYEES. THE GROUP INSURANCE PLAN, (MEDICAL, DENTAL, PRESCRIPTION, VISION, GROUP LIFE INSURANCE, SHORT TERM DISABILITY AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS) AND THE EMPLOYEE ASSISTANCE PLAN ARE PROVIDED TO ALL FULL-TIME PERMANENT EMPLOYEES AND, AS PERMITTED UNDER THE PLAN, TO DEPENDENTS. THE LONG-TERM DISABILITY PLAN PROVIDES ITS BENEFITS TO THE COMPANY'S NON-BARGAINING UNIT EMPLOYEES. 5 0 0 5 3780 0 0 0 83284525 85898665 2469 3780 231643 1177709 83518637 87080154 0 0 84948240 94309758 976250 967036 0 0 0 1605099 11491281 87529589 106768075 -4010952 -19687921 23521912 487091 8823225 5476325 14698687 -4989234 X THE TRUST IS A VOLUNTARY EMPLOYEE'S BENEFICIARY ASSOCIATION (THE "VEBA") ESTABLISHED BY AMERICAN WATER WORKS COMPANY INC. (THE COMPANY). THE COMPANY AND PARTICIPANTS FUND THE VEBA SOLELY TO PROVIDE GROUP INSURANCE, EMPLOYEE ASSISTANCE AND LONG-TERM DISABILITY BENEFITS TO THE COMPANY'S EMPLOYEES. THE GROUP INSURANCE PLAN, (MEDICAL, DENTAL, PRESCRIPTION, VISION, GROUP LIFE INSURANCE, SHORT TERM DISABILITY AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS) AND THE EMPLOYEE ASSISTANCE PLAN ARE PROVIDED TO ALL FULL-TIME PERMANENT EMPLOYEES AND, AS PERMITTED UNDER THE PLAN, TO DEPENDENTS. THE LONG-TERM DISABILITY PLAN PROVIDES ITS BENEFITS TO THE COMPANY'S NON-BARGAINING UNIT EMPLOYEES. 0 0 105924857 87076374 THE TRUST IS A VOLUNTARY EMPLOYEE'S BENEFICIARY ASSOCIATION (THE "VEBA") ESTABLISHED BY AMERICAN WATER WORKS COMPANY INC. (THE COMPANY). THE COMPANY AND PARTICIPANTS FUND THE VEBA SOLELY TO PROVIDE GROUP INSURANCE, EMPLOYEE ASSISTANCE AND LONG-TERM DISABILITY BENEFITS TO THE COMPANY'S EMPLOYEES. THE GROUP INSURANCE PLAN, (MEDICAL, DENTAL, PRESCRIPTION, VISION, GROUP LIFE INSURANCE, SHORT TERM DISABILITY AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS) AND THE EMPLOYEE ASSISTANCE PLAN ARE PROVIDED TO ALL FULL-TIME PERMANENT EMPLOYEES AND, AS PERMITTED UNDER THE PLAN, TO DEPENDENTS. THE LONG-TERM DISABILITY PLAN PROVIDES ITS BENEFITS TO THE COMPANY'S NON-BARGAINING UNIT EMPLOYEES. 105924857 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 X 5 0 0 0 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 0 0 0 X AMERICAN WATER WORKS CO INC 8563465895 1025 LAUREL OAK ROAD VOORHEES NJ 08043 MICHAEL HOFFMAN BENEFIT COMMITTEE 1.00 X 0 0 0 JENN GAMBOL CO-CHAIR 4.00 X 0 0 0 BRUCE HAUK BENEFIT COMMITTEE 1.00 X 0 0 0 DAVID CHOATE BENEFIT COMMITTEE 1.00 X 0 0 0 MARK MORTON CO-CHAIR 4.00 X 0 0 0 WELLS FARGO BANK NA TRUSTEE 0.00 10.00 X 79447 0 0 79447 0 0 0 0 0 0 HORIZON BCBS NJ PO BOX 310 NEWARK NJ 071010310 ADMINISTER MEDICAL CARE 1811386 AMERICAN WATER WORKS CO INC 1025 LAUREL OAK ROAD VOORHEES NJ 08043 HEALTH & WELLNESS PROGRAM 887589 AETNA INC PO BOX 70966 CHICAGO IL 606730944 ADMIN DENTAL & DISABILITY 179756 CAREBRIDGE CORP 40 LLOYD AVE SUITE 207 MALVERN PA 19355 EMPLOYEE ASSISTANCE 112380 4 COMPANY CONTRIBUTIONS 900099 83786128 83786128 MEMBER CONTRIBUTIONS 900099 2112537 2112537 85898665 3780 3780 REFUNDS 900099 1177709 1177709 1177709 87080154 87076374 3780 0 94309758 94309758 79447 79447 887589 887589 2225010 2225010 742951 742951 8502500 8502500 20820 20820 106768075 105924857 843218 0 239 23335 23521673 463756 23521912 487091 8823225 5476325 8823225 5476325 X 14698687 -4989234 0 0 0 0 14698687 -4989234 23521912 487091 -19687921 0 X X 1 X 1 X 1 0 0 MEDICAL CLAIMS INCURRED BUT NOT REPORTED 5476325 5476325 FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF AMERICAN WATER WORKS COMPANY, INC. APPOINTS THE MEMBERS OF THE RETIREMENT/BENEFITS COMMITTEE. THE COMMITTEE MEMBERS SERVE ON A VOLUNTARY BASIS AS THE INDIVIDUAL TRUSTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE BENEFITS COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C AMERICAN WATER WORKS CO, INC MAINTAINS A CODE OF ETHICS THAT GOVERNS THE ACTIONS OF THE BENEFITS COMMITTEE MEMBERS. THE CODE REQUIRES THAT CONFLICTS OF INTEREST BE AVOIDED, REQUIRES ANNUAL CERTIFICATION OF COMPLIANCE AND INCLUDES A "NO RETALIATION" POLICY REGARDING REPORTS OF VIOLATIONS. FORM 990, PART VI, SECTION C, LINE 19 EMPLOYEES RECEIVE A SUMMARY PLAN DOCUMENT (SPD) WHEN HIRED. A SUMMARY ANNUAL REPORT (SAR) IS DISTRIBUTED ANNUALLY. THE CODE OF ETHICS ON THE COMPANY'S INTERNET AND INTRANET SITES, HARD COPIES ARE AVAILABLE THROUGH THE HR DEPARTMENT. ALL OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 1 THE ACCOUNTING METHOD IS MODIFIED CASH. AN ANNUAL AUDIT IS CONDUCTED BY AN INDEPENDENT AUDITOR FOR AMERICAN WATER WORKS COMPANY, INC AND ITS DESIGNATED SUBS. AND AFFIL GROUP INSURANCE PLAN (PLAN). THE PLAN INCLUDES THIS VEBA AS WELL AS OTHER VEBAS REPORTED ON SCHEDULE R. FORM 990, PART XII, LINE 2C NO CHANGE FROM THE PRIOR YEAR. FORM 990, PART VI, LINE 9 JAMES SHERIDAN, 330 FELLOWSHIP ROAD, MOUNT LAUREL, NJ 08054 FORM 990, PART VII THIS VEBA TRUST PAYS THE INSTITUTIONAL TRUSTEE AND OTHER INDEPENDENT CONTRACTORS BY THE SERVICE RENDERED. AWWC LIFE INSURANCE TRUST 1025 LAUREL OAK RD VOORHEES NJ 08043 043207700 LIFE INSURANCE MA N/A T 0 AWW POST RETIREMENT MED TRUST NON BARG 1025 LAUREL OAK RD VOORHEES NJ 08043 043207706 MED BENEFIT MA N/A T 0 AWW POST RETIREMENT MED TRUST BARGAINING 1025 LAUREL OAK RD VOORHEES NJ 08043 043207704 MED BENEFIT MA N/A T 0 NYWSC POST RETIREMENT HEALTHCARE ASSOC 1025 LAUREL OAK RD VOORHEES NJ 08043 550823550 MED BENEFIT NY N/A T 0 AMERICAN WATER WORKS COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 510063696 HOLDING COMPANY DE N/A C 0 AMERICAN WATER ENTERPRISES 131 WOODCREST RD CHERRY HILL NJ 08003 223169459 HOLDING COMPANY DE N/A C 0 AMERICAN WATER RESOURCES 131 WOODCREST RD CHERRY HILL NJ 08003 540912221 HOMEOWNER SERVICES VA N/A C 0 AMERICAN WATER WORKS SERVICE COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 231340234 SHARED SERVICES DE N/A C 0 CALIFORNIA AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 510104148 WATER UTILITY CA N/A C 0 HAWAII AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 990108667 WATER UTILITY NE N/A C 0 ILLINOIS AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 510105894 WATER UTILITY IL N/A C 0 INDIANA AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 350936102 WATER UTILITY IN N/A C 0 IOWA AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 420735216 WATER UTILITY DE N/A C 0 KENTUCKY AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 610485002 WATER UTILITY KY N/A C 0 NEW YORK AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 111516966 WATER UTILITY NY N/A C 0 MARYLAND AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 520265025 WATER UTILITY MD N/A C 0 MICHIGAN AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 381657784 WATER UTILITY MI N/A C 0 MISSOURI AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 440578460 WATER UTILITY MO N/A C 0 NEW JERSEY AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 221546642 WATER UTILITY NJ N/A C 0 PENNSYLVANIA AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 251008096 WATER UTILITY PA N/A C 0 TENNESSEE AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 620529095 WATER UTILITY TN N/A C 0 VIRGINIA AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 540119650 WATER UTILITY VA N/A C 0 DALE SERVICES CORP 131 WOODCREST RD CHERRY HILL NJ 08003 540797839 WATER UTILITY VA N/A C 0 WEST VIRGINIA AMERICAN WATER COMPANY 131 WOODCREST RD CHERRY HILL NJ 08003 550307487 WATER UTILITY WV N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0