2016-04-12T10:26:00-05:00 2015-08-31 131578842 BUCHBINDER TUNICK & COMPANY LLP 6720-A ROCKLEDGE DRIVE SUITE 510 BETHESDA MD 20817 990 2014-09-01 222480854 TRUSTEES OF NEW YORK STATE UNITED TEACHERS MEMBER BENEFITS TRUST NEWY 5182136000 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 MARTIN MESSNER TRUSTEE 5182136000 2016-04-05 1 JOHN ZIMMERMAN P01049106 2402001400 2016-04-05 2014 2016-08-17 19:52:53Z MARTIN MESSNER 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 71950599 0 X HTTP://MEMBERBENEFITS.NYSUT.ORG X 1983 NY TO BE FIRST AND FOREMOST IN MINDS OF MEMBERS WHEN IT COMES TO INSURANCE, FINANCIAL, LEGAL AND OTHER SERVICES. THIS WILL OCCUR BY ENDORSING QUALITY PROGRAMS THAT ARE COMPETITIVELY PRICED AND ARE DESIGNED TO PROVIDE FINANCIAL EDUCATION AND SECURITY FOR MEMBERS AND THEIR FAMILIES. 10 7 0 0 0 0 0 0 32528836 37660696 1044814 1616733 5848958 5743943 39422608 45021372 0 0 3168882 5313276 3998114 4199064 0 0 0 4167179 6451222 11334175 15963562 28088433 29057810 72338477 101968721 31167541 32157612 41170936 69811109 ENDORSING QUALITY PROGRAMS THAT ARE COMPETITIVELY PRICED AND ARE DESIGNED TO PROVIDE FINANCIAL EDUCATION AND SECURITY FOR MEMBERS AND THEIR FAMILIES. 0 0 CATASTROPHE MAJOR MEDICALSUPPLEMENTS BASIC HOSPITALIZATION AND MAJOR MEDICAL INSURANCE AND LONG TERM CARE. FOR THE YEAR ENDING 8/31/15, THERE WERE, ON AVERAGE, 84,556 PARTICIPANTS, AND 52,771 POLICIES. GROUP VISIONPROVIDES VISION INSURANCE FOR MEMBERS AND THEIR FAMILIES. FOR THE YEAR ENDED 8/31/15, THERE WERE ON AVERAGE 54,911 PARTICIPANTS. NYSUT AND GROUP LEGAL SERVICE PLANPROVIDES LEGAL ASSISTANCE FOR LEGAL MATTERS. FOR THE YEAR ENDING 8/31/15, THERE WERE, ON AVERAGE, 92,880 PARTICIPANTS. 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 5 0 1 0 0 0 0 0 0 0 X 10 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JEFFREY LOCKWOOD 5182136000 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 X RODERICK SHERMAN TRUSTEE-SECRETARY 2.00 X X 0 0 0 ROBERT LESNIEWSKI TRUSTEE 3.00 X 0 218313 87433 ARTHUR PEPPER TRUSTEE 2.00 X 0 14724 0 LORETTA DONLON TRUSTEE 2.00 X 0 14724 0 MATTHEW HILL TRUSTEE 2.00 X 0 14724 0 MARTIN MESSNER TRUSTEE-CHAIR 7.00 X X 0 164783 68684 PAUL PECORALE TRUSTEE 2.00 X 0 131142 57820 KEVIN PETERMAN TRUSTEE 2.00 X 0 11307 0 KEVIN RUSTOWICZ TRUSTEE 2.00 X 0 10307 0 FLORENCE MCCUE TRUSTEE 2.00 X 0 11307 0 LYNETTE METZ DIRECTOR OF MEMBER BENEFITS 35.00 X 0 189682 82545 MICHAEL TRAVINSKI ASSOC SPECIAL COUNSEL 11.00 X 0 166410 67035 JEFFREY LOCKWOOD MGR. ACCOUNTING/REPORTING 5.00 X 0 156177 76284 BETSY PORTER MANAGER, MEMBER BENEFITS 35.00 X 0 135279 66527 VERNELL STOKES ASSISTANT IN MEMBER BENEFI 35.00 X 0 140335 54485 KATHYRN MAGUIRE ASSISTANT IN MEMBER BENEFI 35.00 X 0 135118 55932 LEE CUTLER FORMER - TRUSTEE 3.00 X 0 130656 85217 KATHLEEN DONAHUE FORMER - TRUSTEE 2.00 X 0 250897 69878 0 1895885 771840 0 1 1 1 MERCER CONSUMER 12421 MEREDITH DRIVE URBANDALE IA 50398 CLAIMS PROCESSOR; RECORDKEEPER & INFORMA 1795599 HEALTH ADVOCATE INC 3043 WALTON RD STE 150 PLYMOUTH MEETING PA 19462 CONSULTING 243416 STACEY BRAUN ASSOCIATES INC 377 BROADWAY NEW YORK NY 100133934 INVESTMENT ADVISER 174449 MEYER SUOZZI ENGLISH & KLEIN PC 990 STEWART AVE STE 300 PO BOX 91 GARDEN CITY NY 115309194 LEGAL 163019 4 PARTICIPANT CONTRIBS 524292 36607825 36607825 SERVICE FEE 561000 603337 603337 DIVIDENDS FROM PRIOR INSURED PROG 525100 449534 449534 37660696 1360181 128981 1231200 27185779 26929227 256552 256552 256552 EXP. REIMB./ENDORSEMENT FEES 900099 6387508 6387508 EQUIPMENT RENTAL 532420 2275 2275 NET EARNINGS/(LOSS) OF SUBSIDIARY 900099 -645840 -645840 5743943 45021372 43790172 0 1231200 X 5313276 2238836 820452 959045 180731 158416 67086 358522 3258699 840256 33139 740327 361400 42374 17698 14060 114124 PCORI FEE 304110 ADMINISTRATIVE SERVICE 112491 STAFF TRAINING 14632 FINANCIAL EDUCATION 10165 3723 15963562 100 100 12410503 12995764 2168278 2798969 68136 50046 1269787 1227908 50938 41879 43500989 71703144 13674949 13836823 464584 541996 72338477 101968721 7592557 7727038 2268006 2319799 21306978 22110775 31167541 32157612 X 0 0 0 0 41170936 69811109 41170936 69811109 72338477 101968721 29057810 -417637 0 X 0 1 X 0 0 21306978 815797 12000 22110775 20326772 992206 12000 21306978 19719796 965355 176000 182379 20326772 19306491 539123 125818 19719796 19155355 315279 164143 19306491 1.00000 0 0 591050 591050 0 287667 287667 0 391070 349191 41879 41879 WELLINGTON TRUST CORE BOND FUND 13836823 F 13836823 PREMIUM STABILIZATION AND OTHER RESERVES 22110775 22110775 PART V, LINE 4: PREMIUM STABILIZATION RESERVES HAVE BEEN ESTABLISHED BY THE TRUST AND INSURANCE PROVIDERS FOR CERTAIN GROUP INSURANCE ARRANGEMENTS. THESE ARRANGEMENTS PROVIDE FOR THE RETURN TO THE NEW YORK STATE UNITED TEACHERS MEMBER BENEFITS TRUST OF A PORTION OF EARNED PREMIUMS WHEN BENEFIT EXPERIENCE IN A POLICY YEAR IS FAVORABLE. THE AMOUNTS RETURNED ARE HELD IN RESERVE BY THE TRUST FOR THE EXCLUSIVE BENEFIT OF THE TRUST'S PARTICIPANTS. THE BENEFIT PROGRAMS WHICH HAVE PREMIUM STABILIZATION RESERVES INCLUDE THE FOLLOWING INSURANCES: TERM LIFE, DISABILITY, GROUP DENTAL AND INDIVIDUAL DENTAL. SOME RESERVES MAY BE USED TO OFFSET PROGRAM LOSSES OR CERTAIN EXPENSES RELATED DIRECTLY TO THAT PROGRAM. OTHER RESERVES HAVE BEEN ESTABLISHED TO SET ASIDE FUNDS EARMARKED FOR SPECIFIC BENEFIT PURPOSES. THOSE BENEFITS INCLUDE HOMEOWNERS INSURANCE AND LEGAL SERVICE PLAN CONFLICT RESOLUTION. 1 0 0 ROBERT LESNIEWSKI TRUSTEE 0 207943 0 0 0 10370 0 49988 0 37445 0 305746 0 0 MARTIN MESSNER TRUSTEE-CHAIR 0 164783 0 0 0 0 0 41315 0 27369 0 233467 0 0 PAUL PECORALE TRUSTEE 0 113642 0 0 0 17500 0 30461 0 27359 0 188962 0 0 LYNETTE METZ DIRECTOR OF MEMBER BENEFITS 0 189529 0 0 0 153 0 44529 0 38016 0 272227 0 0 MICHAEL TRAVINSKI ASSOC SPECIAL COUNSEL 0 166410 0 0 0 0 0 37084 0 29951 0 233445 0 0 JEFFREY LOCKWOOD MGR. ACCOUNTING/REPORTING 0 156177 0 0 0 0 0 37474 0 38810 0 232461 0 0 BETSY PORTER MANAGER, MEMBER BENEFITS 0 135279 0 0 0 0 0 32000 0 34527 0 201806 0 0 VERNELL STOKES ASSISTANT IN MEMBER BENEFI 0 99321 0 0 0 41014 0 31555 0 22930 0 194820 0 0 KATHYRN MAGUIRE ASSISTANT IN MEMBER BENEFI 0 135118 0 0 0 0 0 32996 0 22936 0 191050 0 0 LEE CUTLER FORMER - TRUSTEE 0 130656 0 0 0 0 0 48969 0 36248 0 215873 0 0 KATHLEEN DONAHUE FORMER - TRUSTEE 0 170236 0 0 0 80661 0 48969 0 20909 0 320775 0 0 PART I, LINE 4A OFFICERS WHO HAVE SERVED MORE THAN TWO TERMS AND WHO HAVE NOT BEEN REMOVED FROM OFFICE FOR CAUSE, SHOULD BE TRANSITIONED IN A WAY THAT DOES NOT DISADVANTAGE THEM AND WHICH SERVES THE NEEDS OF THE ORGANIZATION. IN ORDER TO COMPLETE THIS TRANSITION, THAT OFFICER SHOULD REMAIN AT FULL SALARY AND BENEFITS FOR SIX MONTHS AFTER THE COMPLETION OF HIS OR HER TERM. IF AN OFFICER SERVES TWO TERMS OR LESS, OR CHOOSES NOT TO PARTICIPATE IN AN ORDERLY TRANSITION, THEY SHALL RECEIVE TWO WEEKS AT FULL PAY AND BENEFITS AFTER THEIR TIME IN OFFICE ENDS. THE FOLLOWING OFFICERS ENDED THEIR TERM ON APRIL 6, 2014 AND WERE COVERED BY THIS TRANSITION POLICY: LEE CUTLER AND KATHLEEN DONAHUE. PART II, PAUL PECORALE THIS OFFICER IS CURRENTLY UNDER A COMPENSATION ARRANGEMENT WHERE A RELATED ORGANIZATION TO THE FILING ORGANIZATION PAYS SOME OF THIS OFFICER'S COMPENSATION AND AN UNRELATED ORGANIZATION (PATCHOGUE-MEDFORD SCHOOL DISTRICT) PAYS THE REMAINDER OF THE COMPENSATION. FOR 2014, THE AMOUNT PAID TO PAUL PECORALE BY PATCHOGUE-MEDFORD SCHOOL DISTRICT TOTALED $53,849 WHICH INCLUDES WAGES AND RETIREMENT. FORM 990, PART VI, SECTION A, LINE 2 NAME RELATIONSHIP ORGANIZATION RODERICK SHERMAN BUSINESS NYSUT MEMBER BENEFITS CORPORATION LYNETTE METZ BUSINESS NYSUT MEMBER BENEFITS CORPORATION ARTHUR PEPPER BUSINESS NYSUT MEMBER BENEFITS CORPORATION ROBERT LESNIEWSKI BUSINESS NYSUT MEMBER BENEFITS CORPORATION PAUL PECORALE BUSINESS NYSUT MEMBER BENEFITS CORPORATION FORM 990, PART VI, SECTION B, LINE 11 THE FINAL DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPOINTS A CONFLICT OF INTEREST OFFICER. THE CONFLICT OF INTEREST OFFICER'S RESPONSIBILITIES ARE TO MONITOR THE IMPLEMENTATION OF THE CONFLICT OF INTEREST POLICY AND, RECOMMEND TO THE OVERSIGHT COMMITTEE, SUCH MODIFICATIONS IN THE POLICY AS HE OR SHE MAY FROM TIME TO TIME DEEM APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THIS ORGANIZATION, AND ALL ITS RELATED ORGANIZATIONS, DETERMINES COMPENSATION OF ALL ITS OFFICERS AND KEY EMPLOYEES ANNUALLY EITHER BY A) COMPLIANCE WITH COLLECTIVE BARGAINING AGREEMENTS FOR INDIVIDUALS COVERED BY THE CBAS OR B) THE BOARD OF DIRECTORS OF THE PARENT ORGANIZATION, NEW YORK STATE UNITED TEACHERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE FORM 5500 FILED WITH THE EMPLOYEE BENEFIT SECURITY ADMINISTRATION (US DEPARTMENT OF LABOR) IS MADE AVAILABLE TO PLAN PARTICIPANTS. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B HOURS FOR RELATED ORGANIZATIONS SOME OF THE OFFICERS AND DIRECTORS LISTED IN PART VII, SECTION A, LINE 1A ALSO SERVE IN SIMILAR ROLES FOR RELATED ORGANIZATIONS. THE HOURS LISTED IN PART VII COLUMN B REFLECT THE AVERAGE HOURS PER WEEK FOR THIS ORGANIZATION ONLY. THE HOURS WORKED FOR RELATED ORGANIZATIONS ARE REFLECTED ON THE RESPECTIVE ORGANIZATIONS' FORM 990. CERTAIN KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART VII, SECTION A, LINE 1A ALSO PERFORM WORK IN VARYING CAPACITIES FOR RELATED ORGANIZATIONS. THE TOTAL HOURS THAT THESE EMPLOYEES WORK ON AVERAGE IS BETWEEN 35 AND 40 HOURS PER WEEK FOR THIS AND RELATED ORGANIZATIONS. FORM 990, PART IX, LINE 11G CONSULTING 104,603. ADMINISTRATIVE AND CLAIMS FEES 2,749,311. HEALTH ADVOCATE FEES 404,785. NEW YORK STATE UNITED TEACHERS 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 141584772 LABOR ORGANIZATION NY 501(C)(5) N/A 0 NYSUT BUILDING CORPORATION 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 141700200 BUILDING CORPORATION NY 501(C)(2) N/A 0 NYSUT RETIREE VEBA HEALTH FUND 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 146204878 BENEFIT PLAN NY 501(C)(9) N/A 0 VOICE OF TEACHERS FOR EDUCATIONCOMMITTEE ON POLICAL EDUCATION 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 141565672 POLICAL ACTION COMMITTEE NY 527 N/A 0 NYSUT EMPLOYEES RETIREMENT PLAN 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 141584772 NYSUT EMPLOYEE BENEFIT PLAN NY 501(A) N/A 0 NYSUT STAFF 401(K) PLAN 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 141584772 NYSUT EMPLOYEE ELECTIVE BENEFIT PLAN NY 501(A) N/A 0 NYSUT EDUCATION AND LEARNING TRUST 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 166460576 OFFERS COURSES TO PROMOTE EFFECTIVE TEACHING NY 501(C)(3) 170(B)(1)(A)(II) N/A 0 NYSUT DISASTER RELIEF AND SCHOLARSHIP TRUST 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 113761261 PROVIDES DISASTER RELIEF AND SCHOLARSHIPS NY 501(C)(3) 170(B)(1)(A)(IV) N/A 0 MARY MULDOON FUND 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 146030191 PRIVATE FOUNDATION NY 501(C)(3) PF N/A 0 NYSUT PLAN FOR FORMER EMPLOYEES OF NEA NY PLAN #006 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 141584772 NYSUT EMPLOYEE BENEFIT PLAN NY 501(A) N/A 0 NYSUT VOTECOPE UNAUTHORIZED COMMITTEE 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 273442678 POLICAL ACTION COMMITTEE NY 527 N/A 0 VOICE OF TEACHERS FOR EDUCATIONCOMMITTEE ON POLICAL EDUCATION 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 264047272 POLICAL ACTION COMMITTEE NY 527 N/A 0 NYSUT MEMBER BENEFITS CORPORATION 800 TROY SCHENECTADY ROAD LATHAM NY 121102455 263989358 MEMBER PROGRAM DISCOUNTS NY N/A C -645840 560264 1.00000 1 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 NYSUT MEMBER BENEFITS CORPORATION A 128982 ACTUAL COSTS AND/OR FMV NYSUT MEMBER BENEFITS CORPORATION Q 191000 ACTUAL COSTS AND/OR FMV NYSUT MEMBER BENEFITS CORPORATION P 1988064 ACTUAL COSTS AND/OR FMV NYSUT MEMBER BENEFITS CORPORATION D 6605330 ACTUAL COSTS AND/OR FMV