2014-03-05T10:09:05-08:00 2013-04-30 KELLEY GALLOWAY & COMPANY PSC 2186 VICTORY PARKWAY CINCINNATI OH 452062813 990 2012-05-01 310782819 LOCAL 212 IBEW HEALTH & WELFARE TRUST FUND LOCA 5138614800 212 CROWNE POINT PLACE CINCINNATI OH 45241 LYMAN M SMITH JR 5138614800 2014-03-05 true JOHN C LAYNE 5138611686 2012 2015-11-30 17:44:51Z RITA MCLUCAS 212 CROWNE POINT PLACE SUITE 102 CINCINNATI OH 45241 15362879 false X N/A X 1973 OH THE MISSION IS TO PROVIDE BENEFITS TO ELIGIBLE PARTICIPANTS OF LOCAL 212, IBEW HEALTH AND WELFARE TRUST FUND. 6 6 24 0 0 0 11893132 11414995 691428 1014996 342061 2932888 12926621 15362879 0 10351900 13151651 1852 4950 0 0 1522915 1676853 11876667 14833454 1049954 529425 24517080 25862603 4526468 5342566 19990612 20520037 THE MISSION IS TO PROVIDE BENEFITS false false THE ORGANIZATION PROVIDED MEDICAL, PRESCRIPTION DRUG AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS OF LOCAL UNION 212 IBEW. false false false false false false false false false false false false false false false 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 false false true false false false true 0 0 24 true false false false false false false false false false false X 6 6 false false false false false true false true true false false true true true true true true false false false X NICOLE EAGAN 5138614800 212 CROWNE POINT PLACE SUITE 102 CINCINNATI OH 45241 HOWARD MAYERS 1.00 X 0 0 0 LYMAN SMITH 1.00 X 0 0 0 KEVIN BROXTERMAN 1.00 X 0 0 0 KURT KUBE 1.00 X 0 0 0 CHRIS GUTERMUTH 1.00 X 1906 0 0 RICHARD MCDONALD 1.00 X 3044 0 0 4950 false false false HUMANA HEALTH PLAN INC PO BOX 528 CAROL STREAM IL 60132 BENEFIT ADMINISTRATION 638392 HUMANA HEALTH PLAN INC PO BOX 528 CAROL STREAM IL 60132 STOP LOSS INSURANCE 486420 2 CONTRACTOR CONTRIBUTIONS 900099 9259565 SELF PAYMENTS 900099 2155430 11414995 1014996 1014996 UNREALIZED APPRECIATION 900099 1043616 1043616 STOP LOSS PROCEEDS 900099 1889103 1889103 169 169 2932888 15362879 14347883 1014996 13151651 13151651 4950 4950 0 0 PPO ADMINSTRATIVE FEES 638392 638392 0 0 ADMINISTRATIVE EXPENSES 481967 481967 0 0 INSURANCE-STOP LOSS 486420 486420 0 0 CLAIMS REVIEW EXPENSES 47381 47381 0 0 22693 22693 0 0 14833454 14833454 0 0 12788 139599 666161 262324 975653 784420 22594782 24142204 267696 534056 24517080 25862603 4526468 5342566 4526468 5342566 X 19990612 20520037 19990612 20520037 24517080 25862603 529425 X false true X true false X 15426641 63762 63762 15362879 15362879 14048216 63762 63762 13984454 849000 849000 14833454 Pt X Line 2 ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT OF AN ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF APRIL 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PLAN MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010. Pt XI Line 2d RECIPROCITY PAYMENTS Pt XII Line 2d RECIPROCITY PAYMENTS Pt XII Line 4b CHANGE IN CLAIMS PAYABLE: CLAIMS PAYABLE AT 4/30/12 $ (3,556,650) CLAIMS PAYABLE AT 4/30/13 4,405,650 INCREASE IN BENEFITS EXPENSE 849,000 Pt VI, Line 7a THE UNION MEMBERS ELECT THREE MEMBERS OF THE GOVERNING BODY, AND THE OTHER THREE MEMBERS OF THE GOVERNING BODY ARE APPOINTED BY THE LOCAL CHAPTER OF NECA. Pt VI, Line 11b FORM 990 WAS MAILED TO THE ORGANIZATION'S TRUSTEE GOVERNING BODY FOR REVIEW AND COMMENT PRIOR TO SUBMITTING THE RETURN TO THE INTERNAL REVENUE SERVICE. Pt VI, Line 12c THE ORGANIZATION INFORMALLY MONITORS ITS CONFLICT OF INTEREST POLICY UNDER DIRECTION OF THE GOVERNING BOARD AND THE PLAN ADMINISTRATOR. Pt VI, Line 15a NO COMPENSATION IS PAID DIRECTLY BY THE PLAN. ALL COMPENSATION IS PAID THROUGH THE LOCAL UNION NO. 212 BENEFIT OFFICE (EIN 23-7345993). THE HEALTH & WELFARE TRUST FUND IS ALLOCATED ITS RESPECTIVE SHARE OF COMPENSATION AND ADMINISTRATIVE EXPENSES. ALL COMPENSATION IS REPORTED ON W-2 FORMS ISSUED BY THE BENEFIT OFFICE. Pt VI, Line 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT FOR THOSE ITEMS REQUIRED UNDER THE PROVISIONS OF ERISA. Form 990, Part IX, Line 24f MISCELLANEOUS 16018. 16018. 0. 0. FED TAX ON DISABILITY 6675. 6675. 0. 0. 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