2013-02-27T08:52:38-08:00 2012-04-30 KELLEY GALLOWAY & COMPANY PSC 2186 VICTORY PARKWAY CINCINNATI OH 452062813 990 2011-05-01 310782819 LOCAL 212 IBEW HEALTH & WELFARE TRUST FUND LOCA 5138614800 212 CROWNE POINT PLACE CINCINNATI OH 45241 RITA MCLUCASCEBS 5138614800 2013-02-27 true JOHN C LAYNE 5138611686 2011 2016-03-07 17:11:31Z RITA MCLUCAS 212 CROWNE POINT PLACE SUITE 102 CINCINNATI OH 45241 12926621 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 28 0 0 0 10982453 11893132 961356 691428 792187 342061 12735996 12926621 0 8294404 10351900 2570 1852 0 0 1447313 1522915 9744287 11876667 2991709 1049954 22838442 24517080 3897784 4526468 18940658 19990612 THE MISSION IS TO PROVIDE BENEFITS TO ELIGIBLE PARTICIPANTS 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 28 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 RITA MCLUCAS CEBS 5138614800 212 CROWNE POINT PLACE SUITE 102 CINCINNATI OH 45241 HOWARD MAYERS 1.00 X 0 0 0 LYNAN 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 0 0 0 RICHARD MCDONALD 1.00 X 1852 0 0 1852 false false false HUMANA HEALTH PLAN INC PO BOX 528 CAROL STREAM IL 60132 BENEFIT ADMINISTRATION 607701 HUMANA HEALTH PLAN INC PO BOX 528 CAROL STREAM IL 60132 STOP LOSS INSURANCE 422717 2 CONTRACTOR CONTRIBUTIONS 900099 9669085 SELF PAYMENTS 900099 2224047 11893132 691428 691428 SUBROGATION CLAIMS 900099 UNREALIZED APPRECIATION 900099 275558 275558 STOP LOSS PROCEEDS 900099 55002 55002 11501 11501 342061 12926621 12235193 691428 10351900 10351900 1852 1852 0 0 PPO ADMINSTRATIVE FEES 607701 607701 0 0 ADMINISTRATIVE EXPENSES 427296 427296 0 0 INSURANCE-STOP LOSS 422717 422717 0 0 CLAIMS REVIEW EXPENSES 46558 46558 0 0 18643 18643 0 0 11876667 11876667 0 0 1290989 678949 831917 975653 18998609 22594782 1716927 267696 22838442 24517080 3897784 4526468 3897784 4526468 X 18940658 19990612 18940658 19990612 22838442 24517080 1049954 X false true true X false 12926621 11876667 1049954 575684 575684 1625638 12982894 56273 56273 12926621 12926621 11357256 56273 56273 11300983 575684 575684 11876667 Pt X 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, 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. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PLAN MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEAR PRIOR TO 2009. Pt XII Line 2d RECIPROCITY PAYMENTS Pt XIII Line 2d RECIPROCITY PAYMENTS Pt XI Line 8 CHANGE IN CLAIMS PAYABLE: CLAIMS PAYABLE AT 4/30/11 $(2,980,966) CLAIMS PAYABLE AT 4/30/12 3,556,650 INCREASE IN BENEFITS EXPENSE 575,684 Pt XIII Line 4b CLAIMS PAYABLE AT 4/30/11 $(2,980,966) CLAIMS PAYABLE AT 4/30/12 3,556,650 INCREASE IN BENEFITS EXPENSE 575,684 Pt VI, Line 7a THE UNION MEMBERS ELECT THREE OF THE GOVERNING BODY MEMBERS, AND THE OTHER THREE GOVERNING BODY MEMBERS ARE APPOINTED BY THE LOCAL CHAPTER OF NECA. Pt VI, Line 11a 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. A REVIEW OF FORM 990 WAS CONDUCTED BY JOHN C. LAYNE, CPA (PREPARER OF THE RETURN) WITH THE PLAN ADMINISTRATOR. Pt VI, Line 12c THE ORGANIZATION INFORMALLY MONITORS ITS CONFLICTS OF INTEREST POLICY UNDER DIRECTION OF THE GOVERNING BOARD AND THE PLAN ADMINISTRATOR. Pt VI, Line 15 NO COMPENSATION IS PAID DIRECTLY BY THE PLAN. ALL COMPENSATION IS PAID THROUGH THE LOCAL UNION NO. 212 BENEFIT OFFICE (TIN 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. THE BENEFIT OFFICE IS NOT CONSIDERED A RELATED ORGANIZATION UNDER THE INSTRUCTIONS TO FORM 990. Pt VI, Line 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 24f MISCELLANEOUS 12125. 12125. 0. 0. FED TAX ON DISABILITY 6518. 6518. 0. 0. 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