2016-05-10T18:26:57-05:00 2015-06-30 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2014-07-01 916028565 ALASKA LABORERS CONSTRUCTION INDUSTRY HEALTH & SECURITY FUND ALAS 2064417574 PO BOX 34203 SEATTLE WA 98124 DERALD SCHOON CHAIRMAN 2064417574 2016-05-10 1 ANITA BAKER P00890233 4252506100 2016-04-26 2014 2016-08-17 19:52:53Z DERALD SCHOON PO BOX 34203 SEATTLE WA 98124 72777180 0 X N/A X 1953 AK TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS OF THE PLAN 8 8 3 8 0 0 0 0 25656771 26433549 1138713 -51611 0 17198 26795484 26399136 0 0 23906038 21437025 0 0 0 0 0 1343551 1407313 25249589 22844338 1545895 3554798 20792227 25108794 14075549 14572712 6716678 10536082 THE PLAN PROVIDES HEALTH AND & WELFARE BENEFITS TO ELIGIBILE MEMBERS. 0 0 THE PLAN PROVIDES HEALTH & WELFARE BENEFITS TO ELIGIBLE MEMBERS. 0 0 0 0 0 0 0 0 0 1 1 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 1 849 0 1 3 1 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X WELFARE & PENSION ADMIN SVC INC 2064417574 2815 2ND AVENUE SEATTLE WA 98124 X X DERALD SCHOON TRUSTEE, CHAIRMAN 1.00 X X 0 0 0 JOEY MERRICK TRUSTEE 1.00 X 0 0 0 MIKE BRADY TRUSTEE 1.00 X 0 0 0 DAN SIMIEN TRUSTEE, SECRETARY 1.00 X X 0 0 0 KEVIN POMEROY TRUSTEE 1.00 X 0 0 0 JAYSEN MATHIESEN TRUSTEE 1.00 X 0 0 0 BRANDON CALCATERRA TRUSTEE 1.00 X 0 0 0 STEVE GERAGHTY TRUSTEE 1.00 X 0 0 0 JOHN MINDER TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 WELFARE AND PENSION ADMIN SERVICES INC PO BOX 34203 SEATTLE WA 98124 THIRD-PARTY ADMIN 670918 AETNA 610 UNION STREET SUITE 810 SEATTLE WA 98101 CLAIMS ADMIN 390428 ALERE HEALTH IMPROVEMENT 51 SAWYER ROAD SUITE 200 WALTHAM MA 02453 HEALTH SOLUTIONS 127478 HEALTH CARE COST MANAGEMENT CORPORATION 3000 A STREET SUITE 300 ANCHORAGE AK 99503 PPO PROVIDER 101849 4 EMPLOYER CONTRIBUTIONS 900099 23524803 23524803 EMPLOYEE CONTRIBUTIONS 900099 2908746 2908746 26433549 105547 105547 46220886 46378044 -157158 -157158 -157158 OTHER INCOME 900099 17198 17198 17198 26399136 26450747 0 -51611 21437025 670918 81433 51198 19376 190058 94653 6256 9517 8669 7743 ACA TRANSITIONAL REINSU 198984 LABORERS HEALTH & SAFET 59129 PCORI TAX 9379 22844338 535404 530894 2863440 2735658 3495 3495 1159 0 1159 1159 14884088 19141086 2504641 2696502 20792227 25108794 357549 476712 13718000 14096000 14075549 14572712 X 0 0 0 0 6716678 10536082 6716678 10536082 20792227 25108794 3554798 264605 0 X X 0 1 X 1 0 1159 1159 1159 103-12 INVESTMENT ENTITY 2696502 F 2696502 CLAIMS PAYABLE 862000 CLAIMS INCURRED BUT NOT REPORTED 4687000 ACCUMULATED ELIGIBILITY CREDITS 8547000 14096000 X 26644366 264605 264605 26379761 19376 19376 26399137 22446962 0 22446962 19376 378000 397376 22844338 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 CLAIMS PAYABLE 478,000. CHANGE IN CLAIMS INCURRED BUT NOT REPORTED -500,000. CHANGE IN ACCUMULATED ELIGIBILITY CREDITS 400,000. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATION OF THE PLAN IS HANDLED BY A THIRD PARTY ADMINISTRATOR, WELFARE AND PENSION ADMINISTRATION SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE BOARD BEFORE IT IS SIGNED. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE REQUIRED TO FILE ANNUAL STATEMENTS REGARDING CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN PROVIDES ITS DOCUMENTS AND FINANCIAL STATEMENTS UPON REQUEST THROUGH THE PLAN ADMINISTRATOR. FORM 990, PART VII, SECTION A, LINE 6: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION BY OTHER RELATED TAX-EXEMPT ORGANIZATIONS 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, LINES 2B & 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE ANNUAL AUDIT AND HIRING THE AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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