2016-05-06T10:34:55-05:00 2015-06-30 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 981011261 990 2014-07-01 916034673 WASHINGTON TEAMSTERS WELFARE TRUST % DEAN MCINNES WASH 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 RICK HICKS TRUSTEE 2063294900 2016-05-05 true MILLER KAPLAN ARASE LLP P01499738 2065963930 2014 2016-08-17 19:52:53Z RANDY ZEILER 2323 EASTLAKE AVE E SEATTLE WA 98102 281722074 false X N/A X 1958 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH ELIGIBLE PARTICIPANTS, WHICH INCLUDES ACTIVE EMPLOYEES OF PARTICIPATING EMPLOYERS. 20 5 0 0 0 0 0 252875737 272201240 2239630 3524334 70000 0 255185367 275725574 0 0 244331648 269874903 0 0 0 0 0 10855142 13297349 255186790 283172252 -1423 -7446678 148619040 149237881 80651926 90295150 67967114 58942731 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDES ACTIVE EMPLOYEES OF PARTICIPATING EMPLOYERS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDES ACTIVE EMPLOYEES OF PARTICIPATING EMPLOYERS. 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 4669 0 true 0 false false false false false false X 20 5 false false false false false false false true true false false false true true true true true false X DEAN MCINNES 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 X X TAMARA KNAPP HANCOCK TRUSTEE 2.0 0.0 X 0 0 0 RANDY ZEILER TRUSTEE 2.0 0.0 X 0 0 0 JERRY D'AMBROSIO TRUSTEE 1.0 0.0 X 0 0 0 DOUG RUYGROK TRUSTEE 1.0 0.0 X 0 0 0 SCOTT KLITZKE POWERS TRUSTEE 1.0 0.0 X 0 0 0 H L RAVENSCRAFT TRUSTEE 2.0 0.0 X 0 0 0 BRIAN ISOM TRUSTEE 1.0 0.0 X 0 0 0 TERRY ANN BODWIN TRUSTEE 1.0 0.0 X 0 0 0 RICK HICKS TRUSTEE 2.0 0.0 X 0 0 0 JOHN EMRICK TRUSTEE 2.0 0.0 X 0 0 0 RICH EWING TRUSTEE 2.0 0.0 X 0 0 0 STEVEN CHANDLER TRUSTEE 2.0 0.0 X 0 0 0 YVONNE PETERS FORMER TRUSTEE 2.0 0.0 X 0 0 0 DARREN O'NEIL TRUSTEE 1.0 0.0 X 0 0 0 JOHN SCEARCY TRUSTEE 1.0 0.0 X 0 0 0 SCOTT SULLIVAN TRUSTEE 1.0 0.0 X 0 0 0 STEVE MANUSZAK TRUSTEE 2.0 0.0 X 0 0 0 LEONARD CROUCH TRUSTEE 1.0 0.0 X 0 0 0 MARK FULLER TRUSTEE 1.0 0.0 X 0 0 0 VAL HOLSTROM TRUSTEE 1.0 0.0 X 0 0 0 RUSSELL SHJERVEN TRUSTEE 1.0 0.0 X 0 0 0 BOB HAWKS FORMER TRUSTEE 1.0 0.0 X 0 0 0 TRACEY THOMPSON FORMER TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 ADMIN AND INV MGMT 9709179 CIGNA HEALTH AND LIFE INSURANCE CO 900 COTTAGE GROVE RD BLOOMFIELD CT 06002 CASE MANAGEMENT 4932704 MEDIMPACT HEALTHCARE SYSTEMS INC 3882 W SALINAS DR RIVERTON UT 84065 CASE MANAGEMENT 897213 WASHINGTON DENTAL SERVICES 9706 FOURTH AVE NE SEATTLE WA 98155 CASE MANAGEMENT 777353 GROUP HEALTH OPTIONS 950 PACIFIC AVE STE 900 TACOMA WA 98402 CASE MANAGEMENT 711885 10 0 EMPLOYER CONTRIBUTIONS 900099 271520371 271520371 COBRA CONTRIBUTIONS 900099 680869 680869 272201240 3453063 3453063 0 0 0 0 0 6067771 5996500 71271 71271 71271 0 0 0 0 275725574 272201240 3524334 0 0 0 269874903 0 0 0 0 0 0 8835263 184139 27000 0 0 170861 224567 0 368232 0 0 0 0 0 19730 0 0 0 64833 ACA REINSURANCE FEES 1815923 ACA PCORI FEES 69691 PPO NETWORK AND REVIEW 1000932 PAYROLL COMPLIANCE FEES 284162 232016 283172252 0 228550 0 0 0 0 22259701 24521073 0 0 0 0 0 0 0 0 44645 37386 0 126314694 124450872 0 0 0 0 0 0 0 0 148619040 149237881 908419 742770 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79743507 89552380 80651926 90295150 X 0 0 0 0 67967114 58942731 67967114 58942731 148619040 149237881 -7446678 -1577705 X false true X true 0 BENEFIT OBLIGATIONS 89552380 89552380 X 274147869 -1577705 -1577705 275725574 275725574 273363379 273363379 9808873 9808873 283172252 PART X, LINE 2: THE PLAN HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE PLAN ADMINISTRATOR BELIEVES THE PLAN HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIIONS OF THIS GUIDANCE. AS OF JUNE 30, 2015, INFORMATION RETURNS FOR YEARS SUBSEQUENT TO THE YEAR ENDED JUNE 30, 2011 WERE SUBJECT TO EXAMINATION BY AUTHORITIES. PART XII, LINE 4B: INCREASE IN BENEFIT OBLIGATIONS. PART VI, LINE 11B: THE FORM 990 REVIEW PROCESS INVOLVES AN INITIAL REVIEW PERFORMED BY THE ADMINISTRATIVE OFFICE, THEN CO-COUNSEL IS ASKED TO REVIEW BEFORE GOING TO THE CO-CHAIRS FOR FINAL REVIEW AND APPROVAL FOR FILING. THE FILING IS NOTED AT THE SUBSEQUENT BOARD MEETING GIVING THE REST OF THE TRUSTEES AN OPPORTUNITY TO REVIEW AND COMMMENT. PART VI, LINE 12C: ANY TRUSTEE OR SERVICE PROVIDER AUTHORIZED TO CONDUCT TRANSACTIONS ON BEHALF OF THE TRUST WHO HAS REASON TO BELIEVE THAT A CONFLICT OF INTEREST MIGHT CONSTITUTE A PROPOSED TRANSACTION IS OBLIGATED TO CONSULT WITH TRUST COUNSEL. TRUSTEES ARE ALSO REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. PART VI, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. ADDITIONALLY, FINANCIAL STATEMENTS ARE DISTRIBUTED TO THE TRUSTEES ON A REGULAR BASIS. SEE PART VII - SUPPLEMENTAL INFORMATION SEE PART VII - SUPPLEMENTAL INFORMATION SEE PART VII - SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false false false false false PARTS II, III AND IV - INDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS TAXABLE AS A PARTNERSHIP, CORPORATION OR TRUST: THE ADMINISTRATIVE OFFICE DOES NOT CURRENTLY MAINTAIN THIS INFORMATION FOR THE 356 CONTRIBUTING EMPLOYERS. PLEASE CONTACT THE ADMINISTRATIVE OFFICE IF YOU HAVE ANY QUESTIONS.