2013-11-04T17:17:23-06:00 2012-12-31 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2012-01-01 237244353 UNITED FOOD AND COMMERCIAL WORKERS AND EMPLOYERS ARIZONA HEALTH & WELFARE TRUST % BARBARA RAY UNIT 6022493582 2400 W DUNLAP AVE Suite 250 PHOENIX AZ 850212811 James W Nygren 6022493582 2013-10-31 true Miller Kaplan Arase LLP 8187692010 2012 2016-03-07 17:11:31Z JAMES MCLAUGHLIN 2400 W DUNLAP AVE STE 250 PHOENIX AZ 850212811 144068573 false X N/A 1968 AZ SEE SCHEDULE O 8 8 1368 0 0 0 0 132774314 134835759 -143663 629953 0 0 132630651 135465712 0 0 131905940 132899953 0 0 0 0 0 9621190 9988617 141527130 142888570 -8896479 -7422858 33935264 27243854 39700791 39995082 -5765527 -12751228 X SEE SCHEDULE O false false THE UNITED FOOD AND COMMERCIAL WORKERS AND EMPLOYERS ARIZONA HEALTH AND WELFARE TRUST IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING MEDICAL-HOSPITAL, DENTAL, PRESCRIPTION, VISION, DISABILITY, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO PARTICIPANTS. 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 false false false false true 5649 0 true 1368 true false false false false false false X 8 8 false false false false false false false true true false false true false false true true true false AZ X BARBARA RAY 6022493582 2400 W DUNLAP AVE STE 250 PHOENIX AZ 850212811 X X PETER BARTH 4.0 X 0 0 0 STUART MARCUS 4.0 X 0 0 0 JAMES NYGREN 4.0 X 0 0 0 FRANK STEGMAN 4.0 X 0 0 0 MARTIN HERNANDEZ 4.0 X 0 0 0 JAMES MCLAUGHLIN 4.0 X 0 0 0 AUTUMN MITCHELL 4.0 X 0 0 0 PAUL RUBIN 4.0 X 0 0 0 0 0 0 0 false false false SOUTHWEST SERVICE ADMINISTRATORS IN 2400 W DUNLAP AVE STE 250 PHOENIX AZ 850212811 ADMIN. SERVICES 5589873 BLUECROSS BLUESHIELD OF ARIZONA 2444 W LAS PALMARITAS DR PHOENIX AZ 850214860 COST CONTAINMENT 1587600 PATIENT CARE PARTNERSHIP 2400 W DUNLAP AVE STE 250 PHOENIX AZ 850212811 MEDICAL BILLING REV. 937155 RAEL LETSON 35 N LAKE AVE STE 810 PASADENA CA 911011892 ACTUARIAL SERVICES 168939 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 FS & PAYROLL AUDITS 157080 8 0 EMPLOYER CONTRIBUTIONS 900099 129932162 129932162 EMPLOYEE CONTRIBUTIONS 900099 303851 303851 RETIREE SELF-PAYMENTS 900099 1488875 1488875 SUPPLEMENTAL EMPLOYER CONTRIBUTIONS 900099 3110871 3110871 134835759 553012 553012 0 0 0 0 0 8679802 8602861 76941 76941 76941 0 0 0 0 135465712 134835759 629953 0 0 0 132899953 0 0 0 0 0 0 4460566 161562 157080 0 0 19573 1077612 0 765018 0 0 0 0 0 35708 0 0 0 44525 MEDICAL NETWORK ACCESS FEES 1587600 MAYO HEALTH NW PPO FEES 937155 CASE MANAGEMENT FEES 426318 SAVE PROGRAM 165442 150458 142888570 5975980 4222482 0 0 0 0 18860729 13296522 0 0 0 0 0 0 0 0 0 0 0 9098555 9724850 0 0 0 0 0 0 0 0 33935264 27243854 473619 434945 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39227172 39560137 39700791 39995082 X 0 0 0 0 -5765527 -12751228 -5765527 -12751228 33935264 27243854 X -7422858 437157 X false true X true false 0 BENEFIT OBLIGATIONS 39316000 PREPAID DEDUCTIBLE ACCOUNT PROGRAM 244137 39560137 X 135902869 437157 437157 135465712 135465712 142888570 142888570 142888570 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. Certain prior years information returns filed by the Plan are subject to examination by authorities for statutory periods. PART I AND III, LINE 1 - ORGANIZATION'S MISSION: THE UNITED FOOD AND COMMERCIAL WORKERS AND EMPLOYERS ARIZONA HEALTH AND WELFARE TRUST IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING MEDICAL-HOSPITAL, DENTAL, PRESCRIPTION, VISION, DISABILITY, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO PARTICIPANTS. PART VI, QUESTION 11B: FORM 990 IS PRESENTED FOR REVIEW AND SIGNATURE AT BOARD OF TRUSTEE MEETINGS. PART VI, QUESTIONS 15A AND 15B: THE BOARD OF TRUSTEES DO NOT RECEIVE COMPENSATION. THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR "KEY EMPLOYEES", AS DEFINED. PART VI, QUESTION 19: GOVERNING DOCUMENTS - NO DOCUMENTS AVAILABLE TO THE PUPLIC. FINANCIAL STATEMENTS - AUDITED STATEMENTS ARE ONLY AVAILABLE UPON REQUEST.