2015-11-02T15:32:52-06:00 2015-02-28 341087273 LublinSussman Group LLP 3166 N Republic Blvd Toledo OH 43615 990 2014-03-01 316029682 Ohio Conference of Teamsters and Industry Health and Welfare Trust OHIO 4192543322 435 South Hawley Street Toledo OH 43609 William Lichtenwald Chairman 4192543322 2015-10-23 1 Lee D Wunschel P00088726 4198412848 2014 2016-04-25 22:37:26Z 435 South Hawley Street Toledo OH 43609 93730643 0 X n/a X 1959 OH Voluntary Employee Benefit Association 6 6 0 0 0 0 0 0 26924849 32934023 2305455 2401929 34944 27584 29265248 35363536 0 0 31490393 33068823 310351 272560 0 0 0 698315 1055077 32499059 34396460 -3233811 967076 94441255 98148828 4179396 5372659 90261859 92776169 Voluntary Employee Benefit Association 0 0 Provision of health, life, dental, vision and temporary disability benefits for enrolled members of collective bargaining units and their eligible dependents. 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 0 0 0 1 322 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Ken Lochtefeld 4192543322 435 South Hawley Street Toledo OH 43609 X Brian Van Matre Trustee 0.00 X 0 0 0 Travis Bornstein Trustee 0.00 X 0 0 0 David Tuttle Trustee 0.00 X 0 0 0 William Lichtenwald Trustee 0.00 X 0 0 0 James D Gilmore Trustee 0.00 X 0 0 0 James W Bishop Trustee 0.00 X 0 0 0 0 0 0 0 0 0 0 Medical Mutual of Ohio 2060 East Ninth St Cleveland OH 44115 Administrator 779027 Forty Four Corporation 435 S Hawley Toledo OH 43609 Rent & Shared Exp 424524 MetLife 177 South Commons Drive Aurora IL 60504 Administrator 322003 United Healthcare 5901 Lincoln Drive Edina MN 55436 Administrator 231326 Sonit Systems 130 Westfield Drive Archbold OH 43502 Computer Support 157274 5 Employer Contribution 32396231 32396231 Employee Contribution 537792 537792 32934023 2466259 2466259 58302777 58367107 -64330 -64330 -64330 Admin Fee Income 26770 26770 Misc. Income 814 814 27584 35363536 32934023 0 2429513 33068823 169642 31095 46613 25210 150442 47840 18666 23307 8934 13186 16670 Reinsurance Program 264726 Trust Agent Fee 175919 Computer Expense 135308 Benefit Consulting Fee 84248 115831 34396460 123333 80024 1793198 2324051 23236 25690 202101 148326 57244 53775 92444244 95665288 94441255 98148828 122396 164659 4057000 5208000 4179396 5372659 X 0 0 0 0 90261859 92776169 90261859 92776169 94441255 98148828 967076 1547234 0 X 0 1 X 1 0 202101 148326 53775 53775 Prescription Drug Claims 110496 Health Claims Payable 810304 Claims Incurred/ Not Reported 3683200 Extended Liability Reserve 604000 5208000 X 36910770 1547234 1547234 35363536 0 35363536 33245460 0 33245460 1151000 1151000 34396460 Part X, Line 2: The Plan has determined that there are no uncertain tax positions that require disclosure in these financial statements under the FASB Accounting Standards Codification topic Income Taxes. The tax years 2011 through 2014 are subject to possible examination by the Internal Revenue Service. Part XII, Line 4b - Other Adjustments: Increase in Benefit Obligation 1,151,000. Part I Line 1 Provision of health, life, dental, vision and temporary disability benefits for enrolled members of collective bargaining units and their eligible dependents Form 990, Part VI, Section A, line 8b Line 9 explanation - Line 8b is not applicable as the organization does not have a committeee with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 Line 11a explanation - All trustees are provided with a draft copy of the 990 for their review. After approval has been given by each of the trustees, the 990 is filed. Form 990, Part VI, Section B, line 12c Conflicts of interest are monitored by the board at the board meetings as issues are brought before the board. Completion of conflict of interest disclosures forms are addressed on the board meeting agenda. Form 990, Part VI, Section C, line 19 The organization provides its governing documents, conflict of interest policy, and financial statements to the public upon request at the Union office.