2016-10-17T14:55:36-05:00 2016-01-31 MILLER KAPLAN ARASE LLP 44 MONTGOMERY ST STE 3701 SAN FRANCISCO CA 941044831 990 2015-02-01 237404790 GENERAL EMPLOYEES TRUST FUND % NORTHWEST ADMINISTRATORS IN GENE 6505707300 1000 MARINA BLVD STE 400 BRISBANE CA 94005 CHARLES GILCHRIST CHAIRMAN 4158974856 2016-09-27 true Catherine Gardner P00350865 4159563600 2015 2017-02-10 21:41:12Z X CHARLES GILCHRIST 1000 MARINA BLVD STE 400 BRISBANE CA 94005 248322968 false X N/A X 1973 CA Multiemployer welfare benefit plan providing health coverage to participants on whose behalf employers contribute to the plan. 10 0 0 0 0 0 0 122717396 127312863 742811 284340 1461212 3621959 124921419 131219162 0 0 114024120 118316242 45500 114000 0 0 0 2532518 2984494 116602138 121414736 8319281 9804426 61575481 72359853 25602447 26651845 35973034 45708008 MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING HEALTH COVERAGE TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE TO THE PLAN. false false Multiemployer welfare benefit plan providing health coverage to participants on whose behalf employers contribute to the plan. 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 66 0 true 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 true true true false X NORTHWEST ADMINISTRATORS IN 6505707300 1000 MARINA BLVD STE 400 BRISBANE CA 94005 X CHARLES GILCHRIST UNION TRUSTEE 4.0 0.0 X 24000 0 0 GEORGE HERNANDEZ EMPLOYER TRUSTEE 4.0 0.0 X 24000 0 0 OLGA MIRANDA UNION TRUSTEE 4.0 40.0 X 0 90940 0 MARK SHARWOOD UNION TRUSTEE 4.0 40.0 X 0 93985 0 RAY NANN EMPLOYER TRUSTEE 4.0 0.0 X 24000 0 0 H JIM EDWARDS EMPLOYER TRUSTEE (ALT.) 4.0 0.0 X 9000 0 0 JIM BEARD EMPLOYER TRUSTEE (ALT.) 4.0 0.0 X 9000 0 0 TIM BREKKE EMPLOYER TRUSTEE 4.0 0.0 X 24000 0 0 DENISE SOLIS UNION TRUSTEE 4.0 40.0 X 0 94204 0 DAVID HUERTA UNION TRUSTEE(ALT.) 4.0 2.0 X 0 96827 0 114000 375956 0 0 false false false NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVE SEATTLE WA 98102 ADMINISTRATOR 1598075 NATIONAL COMPLIANCE SERVICES 463 MIDDLEFIELD RD BOULDER CREEK CA 95006 PAYROLL AUDITS 277729 ANTHEM BLUE CROSS 11050 OLSEN DR STE 110 RANCHO CORDOVA CA 95670 CLAIM PROCESSOR 506571 WYLIE MCBRIDE PLATTEN RENNER 605 MARKET ST STE 1200 SAN FRANCISCO CA 94105 ATTORNEY 165543 RAEL LETSON 378 VINTAGE PARK DR FOSTER CITY CA 94404 CONSULTANT 101813 5 0 EMPLOYER CONTRIBUTIONS 900099 127200621 127200621 PARTICIPANT CONTRIBUTIONS 900099 112242 112242 127312863 741479 741479 0 0 0 0 0 116646667 117103806 -457139 -457139 -457139 0 0 0 LIQUIDATED DAMAGES AND INTEREST 900099 76120 76120 STOP LOSS REIMBURSEMENTS 900099 1822249 1822249 EXPERIENCE RATED REFUND 900099 939491 939491 784099 784099 3621959 131219162 130934822 284340 0 0 0 118316242 114000 0 0 0 0 0 1575377 291463 312978 0 0 142265 267822 0 81086 0 0 0 0 0 54530 0 0 0 27059 MISCELLANEOUS EXPENSES 12828 TRANSITIONAL REINSURANCE FEE 189544 PCORI FEE 29542 121414736 0 0 20575241 24957452 0 0 11473104 12741974 0 0 0 0 0 0 0 0 7649 7246 0 29519487 34653181 0 0 0 0 0 0 0 0 61575481 72359853 193858 212133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25408589 26439712 25602447 26651845 X 0 0 0 0 35973034 45708008 35973034 45708008 61575481 72359853 9804426 -69452 X false true X true 0 BENEFIT OBLIGATIONS 26302064 SECURITIES PAYABLE 137648 26439712 X 127604617 -69452 -69452 127674069 3545093 3545093 131219162 116976168 21863496 21863496 95112672 26302064 26302064 121414736 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 XI, LINE 4B: DRUG REBATE $783,353 STOP LOSS REIMBURSEMENT $1,822,249 EXPERIENCE RATED REFUND $939,491 TOTAL: $3,545,093 PART XII, LINE 2D: PLAN'S BENEFIT OBLIGATION AT JANUARY 31, 2015 $25,408,589 DRUG REBATE ($783,353) STOP LOSS REIMBURSEMENT ($1,822,249) EXPERIENCE RATED REFUND ($939,491) TOTAL: $21,863,496 PART XII, LINE 4B: PLAN'S BENEFIT OBLIGATION AT JANUARY 31, 2016 $26,302,064 Part VI, Line 11B: The Plan's CPA prepares the form 990 which is reviewed by the third party administrator and presented to the Board chairman and co-chairman to review and approve prior to being filed. The full board can request copies of the completed form 990. Part VI, Line 12c: The trustees participate in regular board of trustee meetings and are required to report to the board any conflicts of interest that arise. Part VI, Line 15b: The full board periodically reviews and approves the compensation for paid trustees. Part VI, Line 19: The Plan's governing documents, conflict of interest policy and financial statements are available to participants upon request. Annually, the Plan files a form 5500 annual return/report of Employee Benefit Plan with the Department of Labor. The form 5500 is available on the DOL's website. PART VII, Section A: Reportable compensation and estimated amounts of other compensation from the related organizations for Olga Miranda represent amounts that were reported on the 2014 form 990. 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