2015-01-09T12:41:44-06:00 2014-05-31 MILLER KAPLAN ARASE LLP 1700 7TH AVE STE 2100 SEATTLE WA 981011360 990 2013-06-01 930478837 THE BLEDSOE HEALTH TRUST % GARTH FISHER BLED 2063294900 2323 EASTLAKE AVE EAST Suite SEATTLE WA 98102 garth fisher account executive 2063294900 2015-01-09 true MILLER KAPLAN ARASE LLP P00349311 2063294900 2013 2016-03-07 17:11:31Z GARTH FISHER 2323 Eastlake Ave E Seattle WA 98102 198604088 false X N/A X 1959 OR SEE SCHEDULE O 10 10 273 0 0 0 0 46178654 46627009 7012994 5787246 197 1154 53191845 52415409 0 0 51392982 56491949 0 0 0 0 0 1140592 1057160 52533574 57549109 658271 -5133700 134965520 132153281 15577738 15505548 119387782 116647733 X SEE SCHEDULE O false false SEE SCHEDULE O 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 2 0 true 273 true false false false false false false X 10 10 true false false false false false false true true false false true true true true true true false X GARTH FISHER 2063294900 2323 EASTLAKE AVE EAST SEATTLE WA 98102 X X RODGER M GLOS TRUSTEE 1.0 X WES ANDERSON Trustee - FORMER 1.0 X KEVIN PETERSON TRUSTEE 1.0 X JOHN SAHLBERG TRUSTEE 1.0 X KELLYE T WISE TRUSTEE 1.0 X SHERRY SCOTT TRUSTEE - FORMER 1.0 X TONY HADLEY TRUSTEE 1.0 X PAUL MARKS TRUSTEE 1.0 X MICHAEL PIETI TRUSTEE 1.0 X CAL WELBORN SR TRUSTEE 1.0 X RANDY FOUTS TRUSTEE - FORMER 1.0 X DEREK GLOS TRUSTEE 1.0 X 0 0 0 TODD GORHAM ALTERNATE TRUSTEE 1.0 X 0 0 0 0 0 0 0 false false false REGENCE BLUECROSS BLUESHIELD OF ORE PO Box 1271 PORTLAND OR 97207 ADMIN SERVICE ORG 4080151 NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE EAST SEATTLE WA 98102 Administrative Fees 560663 2 0 EMPLOYER CONTRIBUTIONS 900099 37753493 37753493 SELF-PAY CONTRIBUTIONS 900099 8873516 8873516 46627009 2825130 2825130 0 0 0 0 0 149150795 146188679 2962116 2962116 2962116 0 0 0 OTHER 900099 1154 1154 1154 52415409 46628163 5787246 0 0 0 56491949 0 0 0 0 0 0 543131 34595 32745 0 0 134862 151108 0 27107 0 0 0 0 0 7991 0 0 0 43614 NEWSLETTER EXPENSES 40938 BANK FEES 30783 ADMIN. - MEDCO 10286 57549109 0 315 7630872 8983272 0 0 4380948 4159975 0 0 0 0 0 0 0 0 1000000 1000000 0 121953700 118009719 0 0 0 0 0 0 0 0 134965520 132153281 165371 100703 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15412367 15404845 15577738 15505548 X 0 0 0 0 119387782 116647733 119387782 116647733 134965520 132153281 -5133700 2393651 X false true X true 0 BENEFIT OBLIGATIONS 15404845 15404845 X 54809060 2393651 2393651 52415409 52415409 57549109 57549109 57549109 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 that the Plan has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. AS OF MAY 31, 2014, INFORMATION RETURNS FOR YEARS SUBSEQUENT TO 2009 ARE SUBJECT TO EXAMINATION BY AUTHORITIES. PART I, LINE 1 AND PART III, LINES 1 AND 4A - ORGANIZATION'S MISSION: TO PROVIDE HEALTH BENEFITS TO ELIGIBLE ACTIVE PARTICIPANTS AND THEIR COVERED DEPENDENTS. THE PLAN ALSO PROVIDES HEALTH BENEFITS TO SELF-PAY PARTICIPANTS AND RETIREES FOR WHICH A CONTRIBUTION IS RECEIVED. PART VI, LINE 2: TRUSTEES RODGER M. GLOS AND DEREK GLOS ARE FATHER AND SON. PART VI, LINE 11B: FORM 990 WAS REVIEWED BY THE ADMINISTRATIVE OFFICE PRIOR TO BEING FILED. THE ADMINISTRATIVE OFFICE WILL NOTIFY THE BOARD OF TRUSTEES OF UNUSUAL OR SIGNIFICANT ITEMS, IF NOTED. PART VI, LINE 12C: TRUSTEES ARE REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN THEIR INTEREST THAT COULD GIVE RISE TO CONFLICTS. PART VI, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED AT THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. PART VII - SECTION A: SALARIES PAID TO TRUSTEES BY THEIR NON-PROFIT EMPLOYERS IS PROPERLY REPORTED ON THE EMPLOYER'S ANNUAL PAYROLL TAX FILINGS AND THEREFORE, NOT REPORTED OR KNOWN TO THE ADMINISTRATIVE OFFICE. See Supplemental Information see supplemental information na see supplemental information na false false false false false false false false false false false false false false false false false false false PART II - IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: THE ADMINISTRATIVE OFFICE DOES NOT CURRENTLY MAINTAIN THIS INFORMATION FOR THE 34 CONTRIBUTING EMPLOYERS. PLEASE CONTACT THE ADMINISTRATIVE OFFICE IF YOU HAVE ANY QUESTIONS. part iii - identification of related organizations taxable as A partnership: the administrative office does not currently maintain this information for the 34 contributing employers. please contact the administrative office if you have any questions. part Iv - identification of related organizations taxable as A corporation or trust: the administrative office does not currently maintain this information for the 34 contributing employers. please contact the administrative office if you have any questions.