2014-05-12T11:48:58-05:00 2013-06-30 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2012-07-01 956474516 SOUTHERN CALIFORNIA DRUG BENEFIT FUND % TRACY SHANNON SOUT 3236668910 2220 HYPERION AVE Suite LOS ANGELES CA 900274710 Maryanne M Miller 3236668910 2014-05-09 true MILLER KAPLAN ARASE LLP 8187692010 2012 2015-11-30 17:44:51Z ANDREA ZINDER 2220 HYPERION AVE LOS ANGELES CA 900274710 109178104 false X WWW.UFCWDRUGTRUST.ORG X 1974 CA SEE SCHEDULE O 10 10 14 0 0 0 0 104204102 108979848 267385 198256 0 0 104471487 109178104 0 0 92847983 95357603 2004161 2139373 0 0 0 3532009 3485388 98384153 100982364 6087334 8195740 28429413 40546992 28100819 32056651 328594 8490341 X SEE SCHEDULE O false false SEE SCHEDULE O false 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 X 2866 0 true 14 true false false false false false false X 10 10 false false false false false false false true true false false true false false true false false false X TRACY SHANNON 3236668910 2220 HYPERION AVE LOS ANGELES CA 900274710 X X DAVID GOODALL 1.0 X 0 0 0 MARYANNE MALZONE-MILLER 1.0 X 0 0 0 BRAD SAPP 1.0 X 0 0 0 MICHAEL SQUIRE 1.0 X 0 0 0 RICK BRUER 1.0 X 0 0 0 KATHY FINN 1.0 X 0 0 0 MICKEY KASPARIAN 1.0 X 0 0 0 CONNIE LEYVA 1.0 X 0 0 0 MICHAEL A STRAETER 1.0 X 0 0 0 ANDREA ZINDER 1.0 X 0 0 0 ROSALYN HACKWORTH 1.0 X 0 0 0 0 0 0 0 false false false ANTHEM BLUE CROSS 21555 OXNARD ST WOODLAND HILLS CA 913674943 MANAGED CARE FEES 602312 DELTA DENTAL OF CALIFORNIA 5093 17871 PARK PLAZA DR STE 200 CERRITOS CA 907038597 DENTAL ADMINISTRATOR 334250 THE SEGAL COMPANY 120 MONTGOMERY ST STE 500 SAN FRANCISCO CA 941044308 CONSULTANT 223600 OPTUM RX INC 2300 MAIN ST IRVINE CA 926146223 PRESC. ADMINISTRATOR 222114 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 ACCOUNTANT 205923 5 0 EMPLOYER CONTRIBUTIONS 900099 103319087 103319087 EMPLOYEE SELF-PAYMENTS 900099 4543671 4543671 RETIREE SELF-PAYMENTS 900099 1117090 1117090 108979848 198256 198256 0 0 0 0 0 0 0 0 0 0 109178104 108979848 198256 X 0 0 0 95357603 0 0 1466819 62289 488086 122179 0 168348 304413 0 0 0 1878480 0 338370 0 0 113084 0 0 10076 0 0 0 74025 LOC. UN. INS. DEP. ADM. EXP. 533557 ALLOCATED DEPRECIATION EXP. 58986 EMPLOYEES' EXPENSES 6049 100982364 -1717830 -864864 9552717 15056560 0 0 8353952 8971710 0 0 0 0 0 0 0 0 15447 16950 0 12225127 17366636 0 0 0 0 0 0 0 0 28429413 40546992 298043 441944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27802776 31614707 28100819 32056651 X 0 0 0 0 328594 8490341 328594 8490341 28429413 40546992 8195740 -33993 X false true X true false 0 BENEFIT OBLIGATIONS 31600358 ACCRUED INVESTMENT PURCHASES 14349 31614707 X 109144111 -33993 -33993 109178104 109178104 100982364 100982364 100982364 PART X, LINE 2: The Plan has adopted guidance on accounting for uncertainty in income taxes issued by the Financial Accounting Standards Board. Management 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. Certain prior years information returns filed by the Plan are subject to examination by authorities. PART I, LINE 1 AND PART III, LINES 1 AND 4A - ORGANIZATION'S MISSION: THE SOUTHERN CALIFORNIA DRUG BENEFIT FUND IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING HOSPITAL - MEDICAL, CHEMICAL DEPENDENCY TREATMENT, DENTAL, ORTHODONTIC, PSYCHIATRIC, PRESCRIPTION, PREDICTIVE MEDICINE, DEATH, SUPPLEMENTAL UNEMPLOYMENT AND DISABILITY, INDUSTRY VACATION, VISION AND OTHER BENEFITS TO ACTIVE EMPLOYEES AND THEIR DEPENDENTS; AND HOSPITAL - MEDICAL, PRESCRIPTION AND DEATH BENEFITS TO RETIRED EMPLOYEES AND THEIR DEPENDENTS. PART VI, LINE 11B: THE BOARD OF TRUSTEES REVIEWS THE FORM 990 AND UPON APPROVAL, DESIGNATES AND AUTHORIZES AN INDIVIDUAL TO SIGN THE RETURN. PART VI, LINE 12A: THE TRUST FUND IS AN EMPLOYEE BENEFIT TRUST SUBJECT TO THE FIDUCIARY AND PROHIBITED TRANSACTION RULES OF ERISA SECTIONS 404 AND 406, 29 U.S.C. SECTIONS 1104 AND 1106. PART VI, LINES 15A AND 15B: MEMBERS OF THE BOARD OF TRUSTEES RECEIVE NO COMPENSATION. THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES. PART VI, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. THE SUMMARY PLAN DESCRIPTION IS DISTRIBUTED TO ALL PARTICIPANTS. THE FINANCIAL STATEMENTS ARE DISTRIBUTED TO ALL TRUSTEES AND PROFESSIONAL ADVISORS AND UPON REQUEST TO OTHER INTERESTED PARTIES. THE SUMMUARY ANNUAL REPORT WITH ERISA - REQUIRED FINANCIAL INFORMATION IS PROVIDED TO ALL PARTICIPANTS ANNUALLY. PART I, LINE 5; PART V, LINES 2A AND 2B; PART IX, LINES 7-10: THE ORGANIZATION HAS NO STATUTORY EMPLOYEES, HOWEVER, FORMS W-2/W-3 WERE FILED FOR PLAN PARTICIPANTS WHOSE REGISTERED DOMESTIC PARTNERS RECEIVED BENEFITS FROM THE PLAN. THE SALARIES AND WAGES, PENSION PLAN CONTRIBUTIONS, OTHER EMPLOYEE BENEFITS AND PAYROLL TAX REPORTED IN PART IX WERE ALLOCATED TO THIS ORGANIZATION BY A RELATED ORGANIZATION, SEE SCHEDULE R. PART VII, COLUMNS (E) AND (F): ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM RELATED TAX-EXEMPT ORGANIZATIONS IS AVAILABLE ON THOSE ORGANZATIONS' FORM 990. SC UFCW UNIONS AND DRUG EMP PENSION FD 2220 HYPERION AVE LOS ANGELES CA 900274710 516029925 EE BENEFIT PL CA 501(A) N/A NA false SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false true true true false false false PART III AND PART IV, LINE 1: THE PLAN HAS SIXTY CONTRIBUTING EMPLOYERS WHOSE INFORMATION IS AVAILABLE AT THE ADMINISTRATIVE OFFICE.