2016-02-08T16:55:32-06:00 2015-04-30 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2014-05-01 510200917 ALASKA PUBLIC SERVICE EMPLOYEES LOCAL UNION NO 71 TRUST FUND ALAS 9072767611 2510 ARCTIC BLVD ANCHORAGE AK 995032515 DENNIS MOEN CHAIRMAN 9072767611 2016-02-01 1 KAREN E THOMAS CPA P00106450 4252506100 2016-02-01 2014 2016-04-25 22:37:26Z DENNIS MOEN 2122 AIRPORT WAY FAIRBANKS AK 99701 80051812 0 X LOCAL71.COM/BENEFITS X 1976 AK TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. 4 4 2 4 0 0 0 0 36579214 37486323 436461 736081 432 51766 37016107 38274170 0 0 29801878 34385728 231564 261221 0 0 0 1897939 2385620 31931381 37032569 5084726 1241601 27124359 32350913 7237146 11075900 19887213 21275013 TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICPANTS OF THE PLAN 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 2 1 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 2062824100 201 QUEEN ANNE AVE N SEATTLE WA 98109 X X DENNIS MOEN CHAIRMAN 1.00 X X 0 0 0 WILLIAM MEERS TRUSTEE 1.00 X 0 0 0 STEVE LITTON TRUSTEE 1.00 X 0 0 0 JORDAN ADAMS TRUSTEE 1.00 X 0 0 0 REX SHARP JR TRUSTEE 1.00 X 0 0 0 ERIC CANADY TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 AETNA 601 UNION ST 810 SEATTLE WA 98101 CLAIMS ADMIN SERVICES 400271 ZENITH AMERICAN SOLUTIONS INC 201 QUEEN ANNE AVE N SEATTLE WA 98109 CLAIMS ADMIN SERVICES 358086 ALERE 51 SAWYER RD SUITE 200 WALTHAM MA 02453 HEALTH MAINTENANCE PROVIDOR 171678 HCCMCA 3000 A STREET SUITE 300 ANCHORAGE AK 99503 HEALTH COST MANAGEMENT SERVICES 153390 H2U 3322 WEST END AVE 400 NASHVILLE TN 37203 HEALTH MANAGEMENT SERVICES 106300 5 EMPLOYER CONTRIB. 900099 32662742 32662742 EMPLOYEE CONTRIB. 900099 4688557 4688557 COBRA 900099 135024 135024 37486323 685675 685675 41828048 41777642 50406 50406 50406 OTHER INCOME 900099 51766 51766 51766 38274170 37486323 0 787847 34385728 147573 100959 12689 9978 49766 51642 92016 88594 184868 42113 12000 5507 14278 652 31759 PPO & MANAGED CARE FEES 1293314 ACA TRANSITIONAL REINSU 331971 HEALTH INCENTIVE GIVE A 80780 HEALTH FAIR EXPENSES 53645 42737 37032569 1117591 248663 860321 1374002 24845 20740 39985 34333 0 5652 25103166 30679150 18436 22706 27124359 32350913 273801 294304 0 6963345 10781596 7237146 11075900 X 0 0 0 0 19887213 21275013 19887213 21275013 27124359 32350913 1241601 146199 0 X X 0 1 X 1 0 39985 34333 5652 5652 CLAIMS PAYABLE 1431637 CLAIMS INCURRED BUT NOT REPORTED 8920000 PREMIUMS PAYABLE 211951 ACCRUED PAYROLL 43907 SECURITIES TRANSACTIONS PAYABLE 174101 10781596 X 38328353 146199 146199 38182154 92016 92016 38274170 33049904 0 33049904 92016 3890648 3982664 37032568 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN FSA BENEFIT OBLIGATION -74,008. CHANGE IN CLAIMS/PREMIUMS PAYABLE 1,044,656. CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 2,920,000. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 IS PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUST ATTORNEY OBTAINS WRITTEN RESPONSES FROM TRUSTEES TO DETERMINE ANY ISSUES WITH RESPECT TO CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART VII, SECTION A, LINE 6: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED TAX EXEMPT ORGANIZATION'S IS REPORTED ON FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE PROCESS AND METHOD FOR SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEARS. STATE OF ALASKA PUBLIC EMPLOYEES LOCAL 71 HAINES BOROUGH ANCHORAGE SCHOOL DISTRICT MUNICIPALITY OF ANCHORAGE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0