2014-12-05T10:27:04-06:00 2014-01-31 MILLER KAPLAN ARASE LLP 44 MONTGOMERY ST STE 3701 SAN FRANCISCO CA 941044831 990 2013-02-01 237404790 General Employees Trust Fund % NORTHWEST ADMINISTRATORS IN GENE 6504882101 355 GELLERT BLVD STE 100 Suite DALY CITY CA 940152666 Charles Gilchrist trustee 6504882101 2014-12-03 true Miller Kaplan Arase LLP P00350865 6504882101 2013 2015-11-30 17:44:51Z CHARLES GILCHRIST 355 GELLERT BLVD STE 100 DALY CITY CA 940152666 151934477 false X N/A X 1973 CA Multiemployer welfare benefit plan providing health coverage to participants on whose behalf employers contribute to the plan. 10 0 0 0 0 0 0 104283482 114801098 429588 691038 2058512 745532 106771582 116237668 0 0 103578290 108747473 43200 43200 0 0 0 2048341 2194544 105669831 110985217 1101751 5252451 47937433 50961233 25042454 23230817 22894979 27730416 MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING HEALTH COVERAGE TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE TO THE PLAN. false false Multiemployer welfare benefit plan providing health coverage to participants on whose behalf employers contribute to the plan. 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 40 0 true 0 false false false false false false X 10 0 false false false false false false false true true false false false true true true true true true false X NORTHWEST ADMINISTRATORS IN 6504882101 355 GELLERT BLVD STE 100 DALY CITY CA 940152666 X CHARLES GILCHRIST UNION TRUSTEE 3.0 X 18000 GEORGE HERNANDEZ EMPLOYER TRUSTEE 1.0 X OLGA MIRANDA UNION TRUSTEE 1.0 40.0 X 0 78413 MIKE GARCIA UNION TRUSTEE(ALT.) 1.0 40.0 X 0 113539 13359 MARK SHARWOOD UNION TRUSTEE 1.0 40.0 X 102547 11360 RAY NANN EMPLOYER TRUSTEE 3.0 X 18000 H JIM EDWARDS EMPLOYER TRUSTEE (ALT.) 1.0 X 7200 JIM BEARD EMPLOYER TRUSTEE (ALT.) 1.0 X 0 0 0 TIM BREKKE EMPLOYER TRUSTEE 1.0 X 0 0 0 DENISE SOLIS UNION TRUSTEE 1.0 40.0 X 105837 12281 43200 400336 37000 0 false false false TOTAL RENAL CARE INC PO BOX 402946 ATLANTA GA 303842946 MED.& HLTH PAYMENTS 262552 NATIONAL COMPLIANCE SERVICES 463 MIDDLEFIELD RD BOULDER CREEK CA 95006 PAYROLL AUDITS 339134 NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 ADMINISTRATOR 1377236 ANTHEM BLUE CROSS 11050 OLSON DR STE 110 RANCHO CORDOVA CA 95670 CLAIMS PROCESSOR 245669 4 0 EMPLOYER CONTRIBUTIONS 900099 114664863 114664863 PARTICIPANT CONTRIBUTIONS 900099 136235 136235 114801098 621196 621196 0 0 0 0 0 35766651 35696809 69842 69842 69842 0 0 0 LIQUIDATED DAMAGES AND INTEREST 900099 166651 166651 STOP LOSS REIMBURSEMENT 900099 577414 577414 ALL OTHER REVENUE 900099 1467 1467 745532 116237668 115546630 691038 0 0 0 108747473 43200 0 0 0 0 0 1377236 109598 390512 0 0 72801 122756 0 64207 0 0 0 0 0 16311 0 0 0 25215 MISCELLANEOUS EXPENSES 15908 110985217 0 0 14110509 12004355 0 0 9609228 10338419 0 0 0 0 0 0 0 0 7057 6213 0 24210639 28612246 0 0 0 0 0 0 0 0 47937433 50961233 196357 189805 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24846097 23041012 25042454 23230817 X 0 0 0 0 22894979 27730416 22894979 27730416 47937433 50961233 5252451 -417014 X false true X true 0 BENEFIT OBLIGATIONS 23041012 23041012 X 115820654 -417014 -417014 116237668 116237668 112568411 24624206 24624206 87944205 23041012 23041012 110985217 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. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2010. PART XII, Line 2d: PLAN'S BENEFIT OBLIGATIONS AT JANUARY 31, 2013. PART XII, Line 4B: PLAN'S BENEFIT OBLIGATIONS AT JANUARY 31, 2014. Part VI, Line 11B: The Plan's CPA prepares the form 990 which is reviewed by the third party administrator and presented to the Board chairman and co-chairman to review and approve prior to being filed. The full board can request copies of the completed form 990. Part VI, Line 12c: The trustees participate in regular board of trustee meetings and are required to report to the board any conflicts of interest that arise. Part VI, Line 15b: The full board periodically reviews and approves the compensation for paid trustees. Part VI, Line 19: The Plan's governing documents, conflict of interest policy and financial statements are available to participants upon request. Annually, the Plan files a form 5500 annual return/report of Employee Benefit Plan with the Department of Labor. The form 5500 is available on the DOL's website. Part VII, Section A: Reportable compensation and estimated amounts of other compensation from the related organizations for Miranda, Sharwood, Solis and Garcia represent amounts that were received in 2012. 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