TRUSTEE, CO-CHAIR

2013-08-14T15:03:35-05:00 2012-09-30 BOND BEEBE 4600 EAST-WEST HIGHWAY SUITE 900 BETHESDA MD 208143423 990 2011-10-01 521805433 UNITED MINE WORKERS OF AMERICA COMBINED BENEFIT FUND % DALE R STOVER UNIT 2025212200 2121 K STREET NW WASHINGTON DC 200371879 MICHAEL H HOLLAND TRUSTEE, CO-CHAIR 2013-07-31 true BRIAN GARSTECKI 3012726000 2011 2016-02-25 16:41:14Z MICHAEL H HOLLAND 2121 K STREET NW STE 350 WASHINGTON DC 20037 217389545 false X WWW.UMWAFUNDS.ORG X 1993 DC High quality delivery of contractually and statutorily mandated benefits to eligible beneficiaries in the most efficient and effective manner possible. 7 2 7 0 0 0 0 237262630 215207593 177112 143270 56731 0 237496473 215350863 0 0 220446640 193917619 626381 661418 0 0 0 22056482 25588157 243129503 220167194 -5633030 -4816331 98975607 101083961 61920681 71013834 37054926 30070127 High quality delivery of contractually and statutorily mandated benefits to eligible beneficiaries in the most efficient and effective manner possible. false false Served as a trust for a multiemployer welfare plan that provided medical, vision, and death benefits. 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 true false false false true 0 0 7 true false false false false false false X 7 2 false false false false false true false true true false false true true true true true true true true false X DALE R STOVER 2025212294 2121 K STREET NW STE 350 WASHINGTON DC 20037 X Michael H Holland TRUSTEE, CO-CHAIR 8.0 X 40000 0 9458 MichEAl W Buckner Trustee (resigned) 12.0 X 50000 0 9608 Gail R Wilensky TRUSTEE 4.0 X 70000 0 9799 William P Hobgood Trustee 4.0 X 70000 0 9137 Daniel L Fassio Trustee, Co-Chair 8.0 X 70000 30000 10037 Carl E Van Horn Trustee 8.0 X 70000 0 9782 Morris D Feibusch Trustee (resigned) 5.0 X 70000 30000 10037 MARTY D HUDSON TRUSTEE 12.0 X 0 0 KURT A SALVATORI TRUSTEE 5.0 X 0 0 Lorraine Lewis Executive Director 9.0 X 68235 68985 12670 Dale R Stover DirECTOR, Finance 13.0 X 63439 41023 8791 571674 170008 89319 0 false false false UNIVITA HEALTH INC 11000 LONG PRAIRIE LAKES DR EDEN PRAIRIE MN 55344 GERIATRIC CARE MGT 7293774 HEALTHSMART BENEFIT SOLUTIONS 222 W LAS COLINAS BLVD 40N IRVING TX 75039 CONTRACT ADMIN 5516379 BIG SANDY AREA DEVELOPMENT 110 RESOURCE CT PRESTONSBURG KY 41653 CONSULTING 154661 BOND BEEBE 4600 EAST-WEST HWY STE 900 BETHESDA MD 20814 ACCOUNTING 144777 MERCER HUMAN RESOURCE 1166 AVENUE OF THE AMERICAS NEW YORK NY 10036 ACTUARIAL 137809 6 0 LEGISLATED TRANSFER AML 900099 91551994 91551994 MEDICARE REIMBURSEMENT 525100 96138720 96138720 EMPLOYER PREMIUMS 525100 26890914 26890914 DOL REIMBURSEMENT 525100 570000 570000 COBRA PREMIUMS 525100 55965 55965 215207593 185157 185157 0 0 1996795 2038682 -41887 -41887 -41887 0 0 0 0 215350863 215207593 143270 0 0 0 193917619 591994 0 0 0 0 69424 8022387 192490 125897 0 0 0 6574117 0 294912 216770 0 765100 224042 0 49801 1572 0 86012 116353 ALLOC SALARIES, TAXES, BENEFIT 8884461 ALL OTHER ADMIN EXPENSES 34243 220167194 -2165380 -2687507 73342057 95265977 0 0 25111830 18800 0 0 0 0 0 0 0 0 0 0 0 1998909 8095265 0 0 0 0 0 0 688191 391426 98975607 101083961 39662318 49758093 0 0 22258363 21255741 0 0 0 0 0 0 0 0 0 0 0 0 61920681 71013834 X 0 0 0 0 37054926 30070127 37054926 30070127 98975607 101083961 X -4816331 -2168468 X false true true X false 0 0 215350863 220167194 -4816331 55244 -2223712 -2168468 -6984799 118697000 55244 55244 118641756 96709107 96709107 215350863 125681000 -94486194 -94486194 220167194 220167194 OTHER REVENUE INCLUDED ON FORM 990 BUT NOT INCLUDED ON AUDITED F/S PART XII, LINE 4B $96,708,720 REIMBURSEMENTS NETTED ON F/S IN DEDUCTIONS $ 387 AUDITED F/S ROUNDED TO NEAREST $1,000 ----------- $96,709,107 TOTAL OTHER =========== OTHER EXPENSES AND LOSSES INCLUDED IN AUDITED F/S NOT INCLUDED ON FORM 990 PART XIII, LINE 2D $(96,708,720) REIMBURSEMENTS NETTED ON F/S IN DEDUCTIONS $( 1,186) AUDITED F/S ROUNDED TO NEAREST $1,000 $ 439,233 pension-related changes other than periodic pension cost $ 1,784,479 post-retirement changes other than periodic pension cost ------------- $(94,486,194) TOTAL OTHER ============= FIN 48 FOOTNOTE PART X, LINE 2 Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken and recognize a tax liability if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions taken by the Combined Fund, and has concluded that as of September 30, 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The Combined Fund is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax periods. Management believes the Combined Fund is no longer subject to income tax examinations for years prior to the year ended September 30, 2009. OTHER CHANGE IN NET ASSETS PART XI, LINE 8 $( 439,233) pension-related changes other than periodic pension cost $(1,784,479) post-retirement changes other than periodic pension cost ----------- $(2,223,712) TOTAL OTHER CHANGE IN NET ASSETS =========== How Members of Shareholders Elect Governing Body PART VI, SECTION A, LINE 7A Pursuant to the United Mine Workers of America Combined Benefit Fund Agreement and Declaration of Trust, the Fund is administered by a Board of seven trustees, two of whom are appointed by the Bituminous Coal Operators' Association ("BCOA"), two of whom are appointed by the United Mine Workers of America ("UMWA"), and three of whom are appointed jointly by the BCOA and the UMWA. The UMWA may remove the Trustees appointed by it, at any time and for any reason, the BCOA may remove the Trustees appointed by it, at any time and for any reason, and the UMWA and the BCOA may remove the Trustees appointed by them jointly, at any time for any reason. In the event of resignation, death, removal, inability or unwillingness to serve of a Trustee, the party(s) who appointed that Trustee shall appoint a successor. The UMWA designates one Trustee to serve as Co-Chairman and the BCOA designates one Trustee to serve as Co-Chairman. Form 990 Review Process PART VI, SECTION B, LINE 11B The Trustees, management staff, and legal counsel of the plan have extensively reviewed the prepared Form 990 prior to signing and filing the form with the Internal Revenue Service. Explanation of Monitoring and Enforcement of Conflicts PART VI, SECTION B, LINE 12C The United Mine Workers of America Combined Benefit Fund requests staff, on an annual basis, to review the organization's conflict of interest policy, to provide a list of potential conflicts of interest to management and to declare that, to the best of their knowledge, they have no other potential conflicts of interest. CompensatIOn Review & Approval Process for Officers & Key Employees PART VI, SECTION B, LINES 15A & 15B THE UMWA COMBINED BENEFIT FUND ("THE PLAN") RECEIVES ADMINISTRATIVE SERVICES JOINTLY WITH OTHER HEALTH AND PENSION PLANS SERVING RETIREES OF THE COAL MINING INDUSTRY. THESE PLANS ARE COLLECTIVELY REFERRED TO AS THE UMWA HEALTH & RETIREMENT FUNDS ("THE FUNDS"). PURSUANT TO ADMINISTRATIVE SERVICE AGREEMENTS, THE UMWA 1974 PENSION TRUST SERVES AS MASTER ADMINISTRATIVE ENTITY FOR THE OTHER PLANS AND EMPLOYS THE ADMINISTRATIVE STAFF OF THE FUNDS. COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER KEY STAFF OFFICERS, INCLUDING HEADS OF ALL STAFF DEPARTMENTS, IS DETERMINED BY THE BOARD OF TRUSTEES OF THE 1974 PENSION TRUST AFTER CONSULTATION WITH THE BOARD OF TRUSTEES OF THE PLAN AND OTHER BOARDS OF TRUSTEES OF PLANS AMONG THE FUNDS. NEITHER THE EXECUTIVE DIRECTOR NOR ANY STAFF OFFICER SERVES ON THE PLAN'S OR ANY OF THE FUNDS' BOARDS OF TRUSTEES. COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL KEY STAFF OFFICERS (AS WELL AS ALL OTHER STAFF EMPLOYEES) IS DETERMINED BASED UPON RESULTS OF PERIODIC SURVEYS AND ANALYSIS CONDUCTED BY EXPERT OUTSIDE CONSULTANTS WHO GATHER AND REVIEW COMPENSATION DATA FROM COMPARABLE POSITIONS AT COMPARABLE ORGANIZATIONS. THE MOST RECENT SUCH SURVEY AND ANALYSIS WAS CONDUCTED BY BUCK CONSULTANTS IN 2011. THE REPORTS AND SUPPORTING DOCUMENTATION OF OUTSIDE COMPENSATION CONSULTANTS AND THE MEMORANDA AND MINUTES REFLECTING THE BOARD OF TRUSTEES' REVIEW OF THESE REPORTS AND THEIR ESTABLISHMENT OF COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER KEY STAFF OFFICERS ALL CONSTITUTE THE CONTEMPORANEOUS DOCUMENTATION OF DECISIONS REGARIDNG THE COMPENSATION ARRANGEMENT, AND ALL ARE MAINTAINED AS PART OF THE RECORDS OF THE PLAN AND THE FUNDS. OTHER CHANGES IN NET ASSETS OR FUND BALANCES PART XI, LINE 5 $ 55,244 NET UNREALIZED GAINS ON INVESTMENTS $(1,784,479) post-retirement changes other than periodic pension cost $( 439,233) pension-related changes other than periodic pension cost ------------ $(2,168,468) TOTAL OTHER CHANGES IN NET ASSETS/FUND BALANCES ============ OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST, WHISTLE BLOWING AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY PROVIDING COPIES UPON REQUEST OR INSPECTION AT THE OFFICE OF THE ORGANIZATION. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael H Holland TITLE:TRUSTEE, CO-CHAIR HOURS:12 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MichEAl W Buckner TITLE:Trustee (resigned) HOURS:9 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Daniel L Fassio TITLE:Trustee, Co-Chair HOURS:12 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Morris D Feibusch TITLE:Trustee (resigned) HOURS:18 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Lorraine Lewis TITLE:Executive Director HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dale R Stover TITLE:DirECTOR, Finance HOURS:7 UMWA 1993 Benefit Plan 2121 K Street NW Washington DC 20037 521888497 health plan DC 501(c)(9) false UMWA 1992 Benefit Plan 2121 K Street NW Washington DC 20037 521805437 health plan DC 501(c)(9) false UMWA Prefunded Benefit Plan 2121 K Street NW Washington DC 20037 261508254 health plan DC 501(c)(9) false UNITED MINE WORKERS OF 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ABINGDON VA 24212 541289911 SEWELL COAL COMPANY INC PO BOX 1268 ABINGDON VA 24212 550364537 SHARPLES COAL CORPORATION 12312 OLIVE BLVD SUITE 400 ST LOUIS MO 63141 550581089 SHAWMUT DEVELOPMENT CORPORATION 316 FIRST AVENUE KITTANNING PA 16201 251521438 SHEESLEY FRANK M CO P O BOX 339 JOHNSTOWN PA 15907 250950644 SHENANGO INC 200 NEVILLE ROAD PITTSBURGH PA 15225 251104158 SNOW HILL COAL CORP 12312 OLIVE BLVD SUITE 400 ST LOUIS MO 63141 350667830 SODDER TRUCKING CO INC P O BOX 237 ALLOY WV 25002 550604562 SOUTHERN OHIO COAL COMPANY 1000 CONSOL ENERGY DR CANONSBURG PA 15317 550403282 SPROUSE CREEK PROCESSING CO PO BOX 16429 BRISTOL VA 24202 541030694 STARVAGGI INDUSTRIES INC 401 PENNSYLVANIA AVE WIERTON WV 26062 550490247 STELCO COAL CO 600 GRANT ST RM 2643 PITTSBURGH PA 15219 340754300 STELCO USA INC 600 GRANT ST RM 2643 PITTSBURGH PA 15219 382560774 SVEDALA INDUSTRIES INC 20965 CROSSROADS CIR WAUKESHA WI 53186 391599801 TAFT A J COAL COMPANY INC PO BOX 1608 JASPER AL 35502 630625213 TALL TIMBER COAL COMPANY PO BOX 16429 BRISTOL VA 24202 541209674 TENNESSEE CONSOLIDATED COAL CO PO BOX 16429 BRISTOL VA 24202 626029380 TRACE FORK COAL CO PO BOX 16429 BRISTOL VA 24202 550699070 TRANSOCEAN HOLDING INC (READING & BATE 4 Greenway Plaza Houston TX 77252 730642271 TRUAX TRAER COAL CO 1000 CONSOL ENERGY DR CANONSBURG PA 15317 361882000 TUNNELTON MINING CO TWO NORTH NINTH STREET ALLENTOWN PA 18101 251114741 TURNER ELKHORN MINING CO 1100 SUPERIOR AVE 1500 CLEVELAND OH 44114 610868837 U S NATURAL RESOURCES INC 212 STATE STREET BELLE VERNON PA 15012 942462111 U S STEEL MINING COMPANY LLC 600 GRANT ST RM 2643 PITTSBURGH PA 15219 251396523 UNION CARBIDE CHEMICALS AND PLASTICS PO BOX 2169 MIDLAND MI 48640 131421730 UNION CARBIDE CORP PO BOX 2169 MIDLAND MI 48640 550586010 UNION CARBIDE CORP PO BOX 2169 MIDLAND MI 48640 061255728 UNITED STATES FUEL COMPANY 8285 TOURNAMENT DRIVE MEMPHIS TN 38125 870186350 USIBELLI COAL MINE INC PO BOX 1000 HEALY AK 99743 920014216 USX CORPORATION 600 GRANT ST RM 2643 PITTSBURGH PA 15219 250996816 VALLEY CAMP COAL COMPANY PO BOX 2463 HOUSTON TX 77252 340592970 VECELLIO & GROGAN INC PO BOX 2438 BECKLEY WV 25802 550345840 VP-5 MINING COMPANY 1000 CONSOL ENERGY DR CANONSBURG PA 15317 541020843 WELDING INC BOX 6007 CHARLESTON WV 25362 550335167 WEST KEN COAL CORP PO BOX 910 EAST CARBON UT 84520 610402550 WEST KENTUCKY COAL CO 1000 CONSOL ENERGY DR CANONSBURG PA 15317 610378555 WEST VIRGINIA ELECTRIC CORP P O BOX 1587 FAIRMONT WV 26555 550328559 WESTMORELAND COAL COMPANY 9540 SOUTH MAROON CIRCLE ENGLEWOOD CO 80112 231128670 WESTMORELAND COAL COMPANY 9540 SOUTH MAROON CIRCLE ENGLEWOOD CO 80112 231213590 WHEELING PITTSBURGH STEEL CORP 1134 MARKET ST WHEELING WV 26003 550703273 WHEELING-PITTSBURGH STEEL CORP 1134 MARKET ST WHEELING WV 26003 550309927 WHITACRE ENGINEERING CO 3833 PROGRESS ST NE CANTON OH 44711 340616182 WINDING GULF COALS INC 9540 SOUTH MAROON CIRCLE ENGLEWOOD CO 80112 550393870 WINDSOR COAL COMPANY 1000 CONSOL ENERGY DR CANONSBURG PA 15317 135488703 W-P COAL COMPANY 1134 MARKET STREET WHEELING WV 26003 550536600 ANDALEX RESOURCES 610931325 FIVE J ENERGY INC 550631943 MOUNTAINEER CONTRACTORS INC 550481221 PETITTO BROS INC 550477747 RUSH RUN COAL COMPANY INC 550614776 SARGENT ELECTRIC COMPANY 250935920 STEEL ERECTORS INC 550285760 false false false false false false false false false false false false true true false false false true RELATED PARTY DATA PART III AND PART IV THE UNITED MINE WORKERS OF AMERICA COMBINED BENEFIT FUND MADE A REASONABLE EFFORT TO COLLECT DATA REGARDING THE CONTRIBUTING EMPLOYERS TO THE PLAN PRIOR TO THE FILING OF THE RETURN.