2014-11-13T09:51:11-06:00 2014-03-31 550526247 WILSON KOZICKI & GWYNN PLLC 32 TWENTIETH STREET SUITE 300 WHEELING WV 26003 990 2013-04-01 510168650 IRON WORKERS LOCALS 549 & 550 MEDICAL & BENEFIT FUND IRON 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 KEITH HUGHES CO-CHAIRMAN OF THE BOARD 3042322660 2014-11-13 NANCY J GWYNN CPA P00726879 3042322280 2014-11-13 2013 2015-11-30 17:44:51Z KEITH HUGHES 2350 MAIN STREET WHEELING WV 26003 17121680 0 X WWW.IW549-550BENEFITS.ORG X 1975 WV TO PROVIDE ACCIDENT, HOSPITAL, MEDICAL, SURGICAL, DISABILITY, DENTAL, PRESCRIPTION AND DEATH BENEFITS TO ELIGIBLE MEMBERS OF IRON WORKERS LOCALS 549 & 550 AND THEIR SPOUSES AND DEPENDENTS. 12 10 5 0 0 0 0 0 6959820 7586901 700586 860560 830 340 7661236 8447801 0 0 6552328 7182549 0 0 0 0 0 1033616 1208806 7585944 8391355 75292 56446 15842722 15784011 120957 169084 15721765 15614927 THE TRUST FUND IS CREATED, ESTABLISHED AND MAINTAINED, (AND THE TRUSTEES AGREE TO RECEIVE, HOLD AND ADMINISTER), TO PROVIDE BENEFITS FOR MEMBERS AND THEIR BENEFICIARIES IN ACCORDANCE WITH THE PLAN DOCUMENT. 0 0 THE IRON WORKERS LOCALS 549 & 550 MEDICAL & BENEFIT PLAN IS A DEFINED BENEFIT HEALTH AND WELFARE PLAN THAT PROVIDES BENEFITS TO ELIGIBLE MEMBERS OF IRON WORKERS LOCALS 549 AND 550 WHO HAVE COMPLETED THE REQUIRED SERVICE HOURS FOR AN EMPLOYER WHO IS SUBJECT TO THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL AND ORNAMENTAL IRONWORKERS LOCALS UNIONS 549 AND 550 AND THE OHIO VALLEY CONSTRUCTION EMPLOYERS COUNCIL INC AND THE STRUCTURAL CONTRACTORS AND INDEPENDENT EMPLOYERS ASSOCIATION OF CANTON OHIO. THE PLAN PROVIDES FOR ACCIDENT, HOSPITAL, MEDICAL, SURGICAL, DISABILITY, DENTAL, PRESCRIPTION AND DEATH BENEFITS COVERING APPROXIMATELY 871 ELIGIBLE MEMBERS AND THEIR SPOUSES AND DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 230 0 1 5 1 0 0 0 0 0 0 0 0 X 12 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MARY WEIR (BENESYS) 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 KEITH HUGHES CO-CHAIRMAN/EMPLOYEE TRUST 0.50 X X 0 91025 65683 WILLIAM SHERER II CO-CHAIRMAN/EMPLOYEE TRUST 0.50 X X 0 76192 61233 RICK MOSS EMPLOYEE TRUSTEE 0.50 X 0 71014 59679 THERON HEDGE EMPLOYEE TRUSTEE 0.50 X 0 0 0 KELLY DIERKES EMPLOYEE TRUSTEE 0.50 X 1456 0 0 SAMUEL YOHO EMPLOYEE TRUSTEE 0.50 X 0 0 0 KEITH LEPAGE EMPLOYER TRUSTEE 0.50 X 0 0 0 KIM CARFAGNA EMPLOYER TRUSTEE 0.50 X 0 0 0 BRIAN SELINSKY EMPLOYER TRUSTEE 0.50 X 0 0 0 JOHN HUMPE EMPLOYER TRUSTEE 0.50 X 0 0 0 ERIKKA STORCH EMPLOYER TRUSTEE 0.50 X 0 0 0 JOHN SELINSKY EMPLOYER TRUSTEE 0.50 X 0 0 0 1456 238231 186595 0 0 1 0 BENESYS 700 TOWER DRIVE SUITE 300 TROY MI 48098 ADMINISTRATION FEES 196217 HCC LIFE INSURANCE COMPANY PO BOX 402032 ATLANTA GA 30384 INSURANCE 196147 AETNA PO BOX 70944 CHICAGO IL 60695 MEDICAL INSURANCE ADMINISTRATION FEES 165582 IRONWORKERS 549550 PENSION PLAN 700 TOWER DRIVE SUITE 300 TROY MI 48098 MISCELLANEOUS 144168 HUMANA 101 EAST MAIN STREET LOUISVILLE KY 40202 MEDICAL INSURANCE ADMINISTRATION FEES 141502 6 EMPLOYER CONTRIBUTION 525120 6244936 6244936 RETIREE AND MEMBER SELF-PAY 525120 1178616 1178616 GOVERNMENT SUBSIDIES 525120 126446 126446 PRESCRIPTION REBATES 525120 36903 36903 7586901 454618 454618 9079821 8673879 405942 405942 405942 MISCELLANEOUS INCOME 525120 340 340 340 8447801 7587241 0 860560 7182549 124407 27820 34510 52105 524515 24652 18673 253644 REIMBURSEMENT TO PENSIO 144168 OTHER TAXES 4233 DUES AND SUBSCRIPTIONS 73 MISCELLANEOUS EXPENSE 6 8391355 15990 48629 1263370 2197253 465939 553884 14520 5585 13924733 12825091 158170 153569 15842722 15784011 120957 169084 120957 169084 X 0 0 0 0 15721765 15614927 15721765 15614927 15842722 15784011 56446 -163284 0 X X 0 1 X 1 0 0 8232412 -163284 -163284 8395696 52105 52105 8447801 8339250 0 8339250 52105 52105 8391355 0 0 0 KEITH HUGHES CO-CHAIRMAN/EMPLOYEE TRUST 0 78116 0 0 0 12909 0 51716 0 13967 0 156708 0 0 WILLIAM SHERER II CO-CHAIRMAN/EMPLOYEE TRUST 0 76192 0 0 0 0 0 47266 0 13967 0 137425 0 0 RICK MOSS EMPLOYEE TRUSTEE 0 71014 0 0 0 0 0 45712 0 13967 0 130693 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE TRUSTEES FOR THE FUND ENGAGED BENESYS INC TO PROVIDE ADMINISTRATIVE SERVICES FOR THE PLAN EFFECTIVE 4/1/10. FORM 990, PART VI, SECTION B, LINE 11 THE COMPLETED 990, IN DRAFT VERSION, IS EMAILED TO ALL GOVERNING BODY MEMBERS PRIOR TO ITS FINALIZATION. ANY QUESTIONS, COMMENTS, AND CONCERNS ARE DISCUSSED AND RESOLVED PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, PRINCIPAL OFFICER, TRUSTEE OR ADMINISTRATOR OF THE ORGANIZATION HAS A DUTY TO DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST AND IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE GOVERNING BOARD. THE GOVERNING BOARD THEN DISCUSSES AND VOTES UPON THE DETERMINATION OF A CONFLICT OF INTEREST. IF THE BOARD BELIEVES THAT AN ACTUAL OR POSSIBLE CONFLICT WAS NOT DISCLOSED AND UPON FURTHER EXPLANATION DETERMINES THAT THERE WAS A FAILURE TO DISCLOSE, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WILL BE TAKEN. EACH DIRECTOR, PRINCIPAL OFFICER, TRUSTEE OR ADMINISTRATOR OF THE GOVERNING BOARD IS REQUIRED TO SIGN AN ANNUAL STATEMENT. PERIODIC REVIEWS WILL ALSO BE CONDUCTED WHICH MAY INCLUDE THE USE OF OUTSIDE EXPERTS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII KEITH HUGHES - 2350 MAIN STREET, WHEELING, WV 26003. WILLIAM SHERER II - 618 HIGH AVENUE NW, CANTON, OH 44703. RICK MOSS - 618 HIGH AVENUE NW, CANTON, OH 44703. THERON HEDGE - 618 HIGH AVENUE NW, CANTON, OH 44703. KELLY DIERKES - 45565 SR 78, WOODSFIELD, OH 43793. SAMUEL YOHO - 1984 PLEASANT RIDGE ROAD, CAMERON, WV 26033. KEITH LEPAGE - PO BOX 8444, CANTON, OH 44711. KIM CARFAGNA - 200 GC&P ROAD, WHEELING, WV 26003. BRIAN SELINSKY - 2009 QUIMBY AVENUE SW, CANTON, OH 44706. JOHN HUMPE - 1B-31 KINGSDALE ROAD, STEUBENVILLE, OH 43952. ERIKKA STORCH - 1721 WETZEL STREET, WHEELING, WV 26003. JOHN SELINSKY - 7778 HEARTHSTONE AVENUE NW, NORTH CANTON, OH 44720. FORM 990, PART XII, LINE 2C: THE PLANS FULL BOARD OF TRUSTEES IS CHARGED WITH OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR. ANNUALLY THE AUDIT REPORT IS PRESENTED TO AND REVIEWED BY THE TRUSTEES. IN ADDITION, THE AUDITOR ATTENDS QUARTERLY TRUSTEE MEETINGS SO ADDITIONAL INQUIRES CAN BE MADE AS NECESSARY. SCHEDULE R, PART II, III, IV SCHEDULE R, PARTS II-IV: CONTRIBUTING EMPLOYERS AND ALL OTHER NECESSARY INFORMATION IS MAINTAINED WITHIN THE ORGANIZATION AND IS AVAILABLE UPON REQUEST FOR ANY INTERESTED PARTY. IRON WORKERS LOCAL 549 2350 MAIN STREET WHEELING WV 26003 550241628 LOCAL LABOR UNION PROVIDING SERVICES TO MEMBERS AND ASSISTANCE TO EMPLOYERS WV 501(C)(5) 0 IRON WORKERS LOCAL 550 618 HIGH AVENUE NW CANTON OH 44703 340225474 LOCAL LABOR UNION PROVIDING SERVICES TO MEMBERS AND ASSISTANCE TO EMPLOYERS OH 501(C)(5) 0 IRON WORKERS LOCALS 549 & 550 SECURITY PLAN 700 TOWER DRIVE SUITE 300 TROY MI 48098 341399439 DEFINED CONTRIBUTION PLAN COVERING ELIGIBLE WORKERS UNDER LOCAL AGREEMENT WV 401(A)/501(A) 0 IRON WORKERS LOCALS 549 & 550 PENSION PLAN 700 TOWER DRIVE SUITE 300 TROY MI 48098 556027928 DEFINED BENEFIT PENSION PLAN COVERING ELIGIBLE MEMBERS OF LOCAL UNIONS WV 401(A)/501(A) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0