UAW RETIREE MEDICAL BENEFITS TR: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- UAW RETIREE MEDICAL BENEFITS TR (EIN 90-0424876)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201323169349302047
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-11T14:42:38-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 RENAISSANCE CENTER SUITE 3900 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48243 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900424876 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UAW RETIREE MEDICAL BENEFITS TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UAWR | NameControl |
| Phone | 3133245900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 WALKER STREET NO 400 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48207 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY BETH KUDERIK | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3133245900 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LORI BOYCE | Name |
| PTIN | P00121981 | PTIN |
| Phone | 3133963000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT NAFTALY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 WALKER STREET NO 400 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48207 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 310516974055 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION ("VEBA") ORGANIZED TO FUND OBLIGATIONS FOR POST-RETIREMENT MEDICAL BENEFITS FOR AUTO UAW RETIREES AND THEIR DEPENDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 86 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 140085518 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 156431441 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2125307681 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2482941955 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15764910 | OtherRevenuePriorYear |
| Other Revenue Current Year | 24211651 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2281158109 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2663585047 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 3787319214 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 3923097428 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10101650 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11625346 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 272112871 | OtherExpensePriorYear |
| Other Expenses Current Year | 273636035 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4069533735 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4208358809 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1788375626 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1544773762 | RevenuesLessExpensesCY |
| Total Assets BOY | 54972635282 | TotalAssetsBOY |
| Total Assets EOY | 58825408704 | TotalAssetsEOY |
| Total Liabilities BOY | 2872604561 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2676582354 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 52100030721 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 56148826350 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION ORGANIZED TO HOLD, INVEST AND ADMINISTER FUNDS FOR POST-RETIREMENT MEDICAL BENEFITS. THE PRIMARY MISSION OF THE RMBT IS TO SERVE AS A SOURCE FOR RETIREE HEALTH CARE COVERAGE FOR IT'S MEMBERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | THE UAW RETIREE MEDICAL BENEFITS TRUST (THE "TRUST") PROVIDES HEALTH CARE BENEFITS TO ELIGIBLE CURRENT AND FUTURE UAW RETIREES FROM GENERAL MOTORS, FORD, AND CHRYSLER, ALONG WITH THEIR ELIGIBLE DEPENDENTS. THE TRUST IS AN INDEPENDENT ENTITY AND IS NOT GOVERNED BY, OR A PART OF, THE UAW OR THE AUTO COMPANIES. THIS ARRANGEMENT WAS ESTABLISHED THROUGH A PROVISION IN THE 2007 COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UAW AND THE THREE AUTO COMPANIES. UNDER THESE AGREEMENTS, ALL OF THE RETIREE HEALTH CARE LIABILITIES WERE TRANSFERRED TO A NEW INDEPENDENT VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION (VEBA). THE FEDERAL COURTS APPROVED THESE AGREEMENTS IN A SERIES OF CLASS ACTION SETTLEMENTS, AND THE ARRANGEMENTS WERE ALSO APPROVED BY THE BANKRUPTCY COURTS IN THE GENERAL MOTORS AND CHRYSLER CHAPTER 11 BANKRUPTCY PROCEEDINGS DURING 2009. THE TRUST IS GOVERNED BY AN 11-PERSON COMMITTEE COMPRISED OF SIX INDEPENDENT MEMBERS AND FIVE MEMBERS APPOINTED BY THE UAW. ADDITIONAL SUBCOMMITTEES OF THE COMMITTEE EXIST FOR PLAN ADMINISTRATION, INVESTMENT, AND AUDIT. ALL COMMITTEE MEMBERS AND TRUST STAFF ADHERE TO A STRICT CODE OF ETHICS.THE PURPOSE OF THE TRUST IS TO SERVE AS A SOURCE FOR RETIREE HEALTH CARE COVERAGE FOR ITS MEMBERS. SEPARATE TRUST ACCOUNTS ARE MAINTAINED FOR EACH AUTO PLAN (GM, FORD, AND CHRYSLER) FROM WHICH BENEFITS ARE PAID. WHEN THE TRUST LAUNCHED IN JANUARY 2010, IT BECAME THE LARGEST NON-GOVERNMENTAL PURCHASER OF RETIREE HEALTH CARE IN THE UNITED STATES, PROVIDING HEALTH CARE BENEFITS TO MORE THAN 860,000 PERSONS.THE TRUST CONTINUES TO SERVE ITS MISSION OF PROVIDING MEDICAL BENEFITS TO RETIREES AND REVIEWS THE BENEFIT DESIGN EACH YEAR TO MAKE ANY ADJUSTMENTS THAT ARE NECESSARY. IN 2012, THE TRUST PAID MORE THAN $2.8 BILLION IN INDIVIDUAL HEALTH CARE CLAIMS AND PREMIUMS TO INSURED HEALTH CARE PROVIDERS FOR THE PLAN YEAR. OVER 14 MILLION PRESCRIPTIONS WERE FILLED FOR MEMBERS AND PAID FOR BY THE TRUST, AT A COST OF MORE THAN $1.3 BILLION. RETIREE HEALTH CARE CONNECT, THE CALL CENTER FOR TRUST MEMBERS, HANDLED MORE THAN 290,000 CALLS IN 2012.IN WORKING WITH ITS PHARMACY BENEFIT MANAGER, THE TRUST CONTINUED ITS EFFORTS TO ASSIST MEMBERS WITH 15 OR MORE MEDICATIONS BY OFFERING A COMPREHENSIVE MEDICATION REVIEW. OTHER PHARMACY PROGRAMS AIMED TO INCREASE THE ADHERENCE TO MEDICAL GUIDELINES, ELIMINATE GAPS IN CARE, AND INCREASE UTILIZATION OF GENERIC MEDICATIONS THROUGH DIRECT MEMBER COMMUNICATION.ADDITIONALLY, THE TRUST PREPARED ITSELF FOR THE LAUNCH OF A MEDICARE PART D PLAN FOR PRESCRIPTION DRUGS THAT WOULD BECOME EFFECTIVE JANUARY 1, 2013. WORKING WITH ITS PHARMACY BENEFIT MANAGER, THE TRUST DEVELOPED A MEDICARE PART D-QUALIFIED PLAN CONTAINING A WRAPAROUND PROVISION THAT ENSURED RETIRED MEMBERS RECEIVED BENEFITS AT LEAST EQUAL TO THE PLAN PREVIOUSLY OFFERED BY THE TRUST. THIS WAS A MONUMENTAL UNDERTAKING AFFECTING 67 PERCENT OF TRUST MEMBERS, LAUNCHING A PROGRAM FOR WHICH COMMUNICATIONS AND ELIGIBILITY IS CAREFULLY COORDINATED WITH MEDICARE STANDARDS AND PRACTICES.DURING 2012, THE TRUST CONSOLIDATED ELIGIBILITY VENDORS TO IMPROVE EFFICIENCY IN OPERATIONS, REDUCE ADMINISTRATIVE COSTS AND ENHANCE MEMBER EXPERIENCE.NEW HEALTH BENEFIT PROGRAMS LAUNCHED IN 2012 INCLUDED THE FOLLOWING:-NEW COVERAGE FOR FOUR (4) OFFICE VISITS WITH $25 COPAY PER VISIT FOR NON-MEDICARE MEMBERS. THERE NEW BENEFITS PROVIDE GREATER ACCESS AND OPPORTUNITIES FOR PREVENTIVE HEALTH.-UTILIZING RESEARCH STUDIES AND TRUST CLAIMS EXPERIENCE, LINKING DENTAL AND VISION HEALTH TO OVERALL HEALTH, THE TRUST ALSO IMPLEMENTED NEW PREVENTIVE DENTAL AND VISION BENEFITS FOR GM AND CHRYSLER RETIREE MEMBERS: THE NEW DENTAL PROGRAM COVERS DENTAL EXAMS, CLEANINGS, X-RAYS AND FILLINGS FOR GENERAL MOTORS AND CHRYSLER MEMBERS.THE NEW VISION PROGRAM COVERS A VISION EXAM AT A $25 COPAY FOR GENERAL MOTORS AND CHRYSLER MEMBERS.-CASE MANAGEMENT AVAILABILITY FOR ALL MEMBERS.-CENTERS OF EXCELLENCE FOR ORGAN TRANSPLANTS.-DISABILITY OUTREACH AND ENROLLMENT SERVICES.-PILOT OFFERINGS OF MEDICARE ADVANTAGE PPO PLANS IN 8 STATES.WITH THESE CHANGES, ALL TRUST MEMBERS NOW HAVE ROUTINE DENTAL CLEANINGS, VISION EXAMS, WELLNESS, AND ROUTINE OFFICE VISIT COVERAGE WITH THEIR PRIMARY CARE PHYSICIAN AVAILABLE. THESE NEW BENEFITS WILL HELP GIVE TRUST MEMBERS CONVENIENT ACCESS TO AGE-RELATED SCREENINGS AND TESTS WHICH MAY LEAD TO EARLY DETECTION AND ASSIST IN PREVENTING FUTURE HEALTH ISSUES BEFORE THEY OCCUR.THE TRUST MEMBERSHIP IS GEOGRAPHICALLY AND DEMOGRAPHICALLY DIVERSE. THE TRUST HAS CONTINUED ITS EMPHASIS ON MAINTAINING ROBUST COMMUNICATION CHANNELS WITH ITS MEMBERSHIP, IN ORDER TO OPERATE IN A TRANSPARENT FASHION AND KEEP THE TRUST'S BENEFICIARIES FULLY INFORMED ON THE TRUST'S ACTIVITIES, AS WELL AS THE MEDICAL BENEFITS PROVIDED BY THE TRUST.PRINTED MAILINGS WERE DISTRIBUTED BY THE TRUST TO 511,416 CONTRACT HOLDER PARTICIPANTS ON TWO (2) OCCASIONS DURING 2012. THESE MAILINGS UPDATED TRUST MEMBERSHIP ON BENEFITS PROVIDED BY THE TRUST, AND PROVIDED INFORMATION REGARDING THE TRUST'S ASSETS. IN ADDITION, THE TRUST'S PARTNERS (SUCH AS BLUE CROSS, VARIOUS REGIONAL AND STATE-WIDE HMO AND PPO PLANS, ETC.) COMMUNICATED, ON BEHALF OF THE TRUST, MANY MORE TIMES WITH EACH PARTICIPANT DURING THE COURSE OF 2012.THE TRUST CONTINUES TO LEVERAGE COMMUNICATION FORMATS THAT COMPLEMENT MAILINGS, INCLUDING ENHANCEMENTS TO THE TRUST-BRANDED WEBSITE (WWW.UAWTRUST.ORG). WITH SIZABLE TEXT AND SEARCH FUNCTIONALITY, MEMBERS HAVE ACCESS TO ALL OF THEIR BENEFIT INFORMATION ONLINE. THE TRUST INCREASED EDUCATION OF MEMBERS THROUGH THE USE OF PRESENTATIONS, DVDS, WEB VIDEOS, BROCHURES, AND OUTREACH AT HUNDREDS OF RETIREE MEETINGS THROUGHOUT THE COUNTRY.THE TRUST DEVELOPED A VIDEO ON THE HISTORY, STRUCTURE AND FUNDING OF THE TRUST TO PROVIDE MEMBERS WITH A BETTER UNDERSTANDING OF HOW THE TRUST FUND CAME INTO EXISTENCE, WHAT PURPOSE IT SERVES, AND HOW IT HELPED PROTECT MEMBERS' BENEFITS. THIS VIDEO IS AVAILABLE FOR ALL MEMBERS TO VIEW ON THE TRUST WEBSITE, WWW.UAWTRUST.ORG.FACE-TO-FACE COMMUNICATION WITH MEMBERS IS ALSO IMPORTANT. THE TRUST EXPANDED THE NUMBER OF RETIREE MEETINGS THAT IT ATTENDED IN 2012. IN TOTAL, THE TRUST REACHED MORE THAN 50,000 RETIREES FACE-TO-FACE AT 500 REGIONAL MEETINGS DURING 2012. | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 86 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | UK | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY BETH KUDERIK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3133245900 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 WALKER STREET SUITE 400 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48207 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Institutional TrusteeInstitutionalTrustee | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT NAFTALY | ||||||||||
| COMMITTEE CHAIR | 4.00 | 1.00 | X | 57162 | 0 | 0 | ||||
| GENERAL HOLIEFIELD | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | ||||
| ADAM BLUMENTHAL | ||||||||||
| COMMITTEE MEMBER | 3.00 | 0.00 | X | 46147 | 0 | 0 | ||||
| ROBERT KING | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | ||||
| TERESA GHILARDUCCI | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 49595 | 0 | 0 | ||||
| DAVID BAKER LEWIS | ||||||||||
| COMMITTEE MEMBER | 3.00 | 0.00 | X | 45888 | 0 | 0 | ||||
| DENNIS WILLIAMS | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | ||||
| WILLIAM PATTERSON | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 52494 | 0 | 0 | ||||
| DOUGLAS WOLL | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 48252 | 0 | 0 | ||||
| JAMES SETTLES | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | ||||
| JOE ASHTON | ||||||||||
| COMMITTEE MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | ||||
| STATE STREET BANK TRUST | ||||||||||
| INSTITUTIONAL TRUSTEE | 2.00 | 0.00 | 0 | 0 | 0 | X | ||||
| FRANCINE PARKER | ||||||||||
| CHIEF EXECUTIVE OFFICER | 60.00 | 0.00 | 385997 | 0 | 20347 | X | ||||
| KENNETH FRIER | ||||||||||
| CHIEF INVESTMENT OFFICER | 60.00 | 2.00 | 270510 | 0 | 14751 | X | ||||
| ERIC HENRY | ||||||||||
| CHIEF INVESTMENT OFFICER(END 3/16/12) | 60.00 | 2.00 | 287255 | 0 | 6365 | X | ||||
| MARY BETH KUDERIK | ||||||||||
| CHIEF FINANCIAL OFFICER | 60.00 | 2.00 | 327965 | 0 | 27796 | X | ||||
| JAMES CHERUNDOLO | ||||||||||
| DIRECTOR | 60.00 | 0.00 | 194711 | 0 | 23510 | X | ||||
| GARON MEIKLE | ||||||||||
| CONTROLLER | 60.00 | 3.00 | 163513 | 0 | 10061 | X | ||||
| WOODROW TYLER | ||||||||||
| INVESTMENT MANAGER | 60.00 | 0.00 | 323639 | 0 | 24424 | X | ||||
| JAMES GROSS 8172012 | ||||||||||
| INVESTMENT MANAGER | 60.00 | 0.00 | 261667 | 0 | 16125 | X | ||||
| BENJANMIN COTTON | ||||||||||
| INVESTMENT MANAGER | 60.00 | 0.00 | 324131 | 0 | 24187 | X | ||||
| BRUCE CARL MD | ||||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | 266244 | 0 | 27113 | X | ||||
| MEREDITH MILLER | ||||||||||
| DIRECTOR CORP GOVERNMENT | 60.00 | 0.00 | 253844 | 0 | 15429 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3359014 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 210108 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD | |||||
| PO BOX 77000 | DETROIT | MI | 482770017 | CLAIMS ADMINISTRATION | 148899330 |
| HEWITT ASSOCIATES LLC | |||||
| PO BOX 95135 | CHICAGO | IL | 606945135 | CONSULTANT, TPA | 23292407 |
| DELTA DENTAL | |||||
| 16082 COLLECTION CENTER DRIVE | CHICAGO | IL | 606930001 | CLAIMS ADMINISTRATION | 12257811 |
| EXPRESS SCRIPTS | |||||
| 3585 ALTANTA AVENUE | HAPEVILLE | GA | 30354 | CLAIMS ADMINISTRATION | 9767439 |
| XEROX HR SOLUTIONS LLC | |||||
| AIM 154-0455 BOX 371143 | PITTSBURGH | PA | 152517143 | TPA | 5795359 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 60 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PARTICIPANT CONTRIBUTI | 525100 | 133071170 | 133071170 |
| CONTINENTAL AUTOMOTIVE | 900099 | 23360271 | 23360271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 156431441 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1511497250 | TotalRevenueColumn |
| Exclusion | $1,511,497,250 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 308738654520 | Securities |
| Other | 86179193 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 307853347617 | Securities |
| Other | 41391 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 885306903 | Securities |
| Other | 86137802 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 971444705 | TotalRevenueColumn |
| Exclusion | $971,444,705 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INVEST. INCOME | Description |
| Business Code | 525100 | BusinessCode |
| Total Revenue Column | 24211651 | TotalRevenueColumn |
| Exclusion | $24,211,651 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 24211651 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2663585047 | TotalRevenueColumn |
| Related Or Exempt Function Income | 156431441 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,507,153,606 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3923097428 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1929489 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7974 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7913122 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 509125 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 655505 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 610131 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 852631 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1618118 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49231495 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209494143 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390698 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390180 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 590469 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 362309 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86882 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 356153 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2858949 | Total |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| INVESTMENT FUND EXPENSE | 5831929 |
| TAXES - CHRYSLER HOLDCO | 1305186 |
| UBI STATE TAXES | 4140 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262753 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4208358809 | Total |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2108205339 | BOY |
| EOY | 3061831086 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219083809 | BOY |
| EOY | 278150145 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 14846342 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3679815 | BOY |
| EOY | 3254672 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1788029 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 652046 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 726881 | BOY |
| EOY | 1135983 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45926032575 | BOY |
| EOY | 53147548061 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6714906863 | BOY |
| EOY | 2318642415 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54972635282 | BOY |
| EOY | 58825408704 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365778036 | BOY |
| EOY | 383233571 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2506826525 | BOY |
| EOY | 2293348783 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2872604561 | BOY |
| EOY | 2676582354 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52100030721 | BOY |
| EOY | 56148826350 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52100030721 | BOY |
| EOY | 56148826350 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54972635282 | BOY |
| EOY | 58825408704 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1544773762 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 5593569391 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 295821 | OtherCostOrOtherBasis |
| Depreciation | 58112 | Depreciation |
| Book Value | 237709 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 441494 | OtherCostOrOtherBasis |
| Depreciation | 187497 | Depreciation |
| Book Value | 253997 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1050714 | OtherCostOrOtherBasis |
| Depreciation | 406437 | Depreciation |
| Book Value | 644277 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1135983 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (7 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| GENERAL MOTORS COMPANY COMMON STOCK | 4617124500 | F |
| GENERAL MOTORS COMPANY PREFERRED STOCK | 6989000000 | F |
| GENERAL MOTORS COMPANY WARRANTS | 106000000 | F |
| OTHER FIXED INCOME SECURITIES | 18796817914 | F |
| OTHER EQUITY SECURITIES | 17687418374 | F |
| ABSOLUTE RETURN | 1351187273 | F |
| CLASS A INDIRECT MEMBERSHIP INTERESTS IN CHRYSLER GROUP | 3600000000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 53147548061 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ADVANCED CONTRIBUTIONS AND ALLOWANCE CREDITS | $2,846,017 |
| PAYABLE TO BROKER FOR SECURITIES PURCHASED | $2,290,502,766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2293348783 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SCHEDULE D, PART VII, LINE H: THE TAXPAYER'S INDIRECT INTEREST IN CHRYSLER GROUP LLC HELD THROUGH THE 13 CHRYSLER HOLDCO ENTITIES IS 41.46%. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConducted |
| Total Expenditures | 1261470220 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 1261470220 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 1261470220 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 1 | PassiveForeignInvestCo |
| Foreign Partnership | 1 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCINE PARKER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 384193 | 0 | 0 | 0 | 1804 | 0 | 15000 | 0 | 5347 | 0 | 406344 | 0 | 0 | 0 |
| KENNETH FRIER | ||||||||||||||
| CHIEF INVESTMENT OFFICER | 208730 | 0 | 0 | 0 | 61780 | 0 | 12500 | 0 | 2251 | 0 | 285261 | 0 | 0 | 0 |
| ERIC HENRY | ||||||||||||||
| CHIEF INVESTMENT OFFICER(END 3/16/12 | 66692 | 0 | 220500 | 0 | 63 | 0 | 3938 | 0 | 2427 | 0 | 293620 | 0 | 0 | 0 |
| MARY BETH KUDERIK | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 326316 | 0 | 0 | 0 | 1649 | 0 | 15693 | 0 | 12103 | 0 | 355761 | 0 | 0 | 0 |
| JAMES CHERUNDOLO | ||||||||||||||
| DIRECTOR | 192956 | 0 | 0 | 0 | 1755 | 0 | 11704 | 0 | 11806 | 0 | 218221 | 0 | 0 | 0 |
| GARON MEIKLE | ||||||||||||||
| CONTROLLER | 163288 | 0 | 0 | 0 | 225 | 0 | 9632 | 0 | 429 | 0 | 173574 | 0 | 0 | 0 |
| WOODROW TYLER | ||||||||||||||
| INVESTMENT MANAGER | 186240 | 0 | 136500 | 0 | 899 | 0 | 11036 | 0 | 13388 | 0 | 348063 | 0 | 0 | 0 |
| JAMES GROSS 8172012 | ||||||||||||||
| INVESTMENT MANAGER | 124569 | 0 | 136500 | 0 | 598 | 0 | 7599 | 0 | 8526 | 0 | 277792 | 0 | 0 | 0 |
| BENJANMIN COTTON | ||||||||||||||
| INVESTMENT MANAGER | 187240 | 0 | 136500 | 0 | 391 | 0 | 10799 | 0 | 13388 | 0 | 348318 | 0 | 0 | 0 |
| BRUCE CARL MD | ||||||||||||||
| MEDICAL DIRECTOR | 265160 | 0 | 0 | 0 | 1084 | 0 | 15373 | 0 | 11740 | 0 | 293357 | 0 | 0 | 0 |
| MEREDITH MILLER | ||||||||||||||
| DIRECTOR CORP GOVERNMENT | 252760 | 0 | 0 | 0 | 1084 | 0 | 15000 | 0 | 429 | 0 | 269273 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCBS OF MICHIGAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | COMMON DIRECTOR | Relationship |
| Amount Of Transaction | 140323375 | AmountOfTransaction |
| Description Of Transaction | CLAIMS ADMIN | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE L, PART IV | Identifier |
| Return Reference | BUSINESS RELATIONSHIP: | ReturnReference |
| Explanation | JIM SETTLES AND ROBERT KING ARE 2 OF 11 DIRECTORS OF THE UAW RETIREE MEDICAL BENEFITS TRUST (THE "TRUST"), AND 2 OF 33 DIRECTORS OF BLUE CROSS BLUE SHIELD OF MICHIGAN. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| AUDITED FINANCIAL STATEMENTS: | FORM 990, PART IV, LINE 11F, 12A AND 12B | THE TRUST WAS ESTABLISHED BETWEEN THE UAW AND GENERAL MOTORS, FORD MOTOR COMPANY, INC., AND CHRYSLER LLC (COLLECTIVELY, THE "AUTOMAKERS"). THE PURPOSE OF THE TRUST IS TO PROVIDE FUNDING OF THE RETIREE MEDICAL BENEFITS FOR SPECIFIED UAW REPRESENTED RETIREES OF THE AUTOMAKERS WITH RESPECT TO CLAIMS INCURRED ON OR AFTER JANUARY 1, 2010 AS PERMISSIBLE UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(9). THE TRUST CONSISTS OF THREE SEPARATE EMPLOYEES' BENEFICIARY ASSOCIATIONS ("EBA") WHEREBY EACH RESPECTIVE EBA INCLUDES THE ELIGIBLE PARTICIPANTS OF EACH OF THE SEPARATE EMPLOYEE WELFARE BENEFIT PLANS. THE TRUST'S ASSETS ARE SEGREGATED INTO THREE SEPARATE ACCOUNTS - GENERAL MOTORS, FORD MOTOR COMPANY, INC. AND CHRYSLER LLC. THE THREE SEPARATE ACCOUNT PLANS EACH UNDERGO AN ANNUAL AUDIT. HOWEVER, THE UAW RETIREE MEDICAL BENEFITS TRUST ("RMBT") ITSELF DOES NOT HAVE AN ANNUAL AUDIT. THE AUDITED FINANCIAL STATEMENTS FROM THE THREE PLANS ARE USED BY THE RMBT AS THE BASIS FOR THE PREPARATION OF THE FORM 990. THE PLAN'S FINANCIAL STATEMENTS FOR THE PLAN YEAR ENDED DECEMBER 31, 2012 EACH RECEIVED AN UNQUALIFIED OPINION FROM DELOITTE & TOUCHE LLP. |
| NUMBER OF EMPLOYEES: | FORM 990, PART V, LINE 2A | TOTAL FORM W-2'S FILED PER THE FORM W-3 IS 247 WHICH INCLUDES PLAN PARTICIPANTS WHO ARE REQUIRED TO RECEIVE FORM W-2 FOR IMPUTED INCOME TO REPORT FUTA AND FICA WITHHOLDING. THE RMBT ITSELF HAS A TOTAL OF 86 EMPLOYEES. |
| FORM 990, PART VI, SECTION A, LINE 2 | JIM SETTLES AND ROBERT KING ARE 2 OF 11 DIRECTORS OF THE UAW RETIREE MEDICAL BENEFITS TRUST ("RMBT"), AND 2 OF 33 DIRECTORS OF BLUE CROSS BLUE SHIELD OF MICHIGAN RMBT TRUSTEES GENERAL HOLIEFIELD, DENNIS WILLIAMS, ROBERT KING, JAMES SETTLES, AND JOE ASHTON ARE ALL MEMBERS OR OFFICERS OF THE INTERNATIONAL UNION, UNITED AUTOMOBILE, AEROSPACE AND AGRICULTURAL IMPLEMENT WORKERS OF AMERICA ("UAW"). | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE UAW MEMBERS WHO ARE ELECTED TO THE RMBT BOARD SERVE AT THE DISCRETION OF THE UAW INTERNATIONAL PRESIDENT, AND MAY BE REMOVED OR REPLACED, AND A SUCCESSOR DESIGNATED, AT ANY TIME BY WRITTEN NOTICE FROM THE UAW INTERNATIONAL PRESIDENT TO THE COMMITTEE. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A PROFESSIONAL TAX PREPARER IS ENGAGED TO PREPARE THE FORM 990. THE TRUST'S CHIEF FINANCIAL OFFICER, AS WELL AS EXTERNAL COUNSEL, REVIEW THE FORM 990 PRIOR TO SUBMITTING TO THE AUDIT COMMITTEE OF THE TRUST FOR THEIR REVIEW. A DRAFT COPY OF FORM 990 IS PROVIDED TO THE MEMBERS OF THE COMMITTEE (I.E. THE GOVERNING BODY OF THE TRUST) FOR REVIEW PRIOR TO FINALIZATION AND FILING WITH THE INTERNAL REVENUE SERVICE. THE INDEPENDENT CPA FIRM PREPARING THE RETURN IS AVAILABLE FOR THE COMMITTEE MEMBERS TO ASK QUESTIONS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE TRUST'S CONFLICT OF INTEREST POLICY IS APPLIED TO ALL EMPLOYEES AND COMMITTEE MEMBERS, AS WELL AS THEIR IMMEDIATE FAMILY MEMBERS. EACH OF THESE INDIVDUALS MUST DISCLOSE ALL 5% OR GREATER OWNERHSIP INTERESTS, COMPENSATION ARRANGEMENTS AND BOARD MEMBERSHIPS TO THE TRUST UPON COMMENCEMENT OF THEIR ROLE, AND TO PROVIDE QUARTERLY UPDATES OF ANY CHANGES IN THEIR DISCLOSURES. FURTHER, BUSINESS MEALS AND EDUCATIONAL CONFERENCES ARE SEVERELY RESTRICTED AND MUST BE DISCLOSED. THE TRUST'S GENERAL COUNSEL REVIEWS ALL CONFLICT OF INTEREST DISCLOUSRE FORMS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | UPON FORMATION THE UAW RETIREE MEDICAL BENEFITS TRUST ENGAGED INDEPENDENT CONSULTANTS AND EXECUTIVE SEARCH FIRMS TO CONSULT WITH MEMBERS OF THE TRUST'S GOVERNING BODY ("THE COMMITTEE") TO ESTABLISH STAFFING NEEDS, JOB REQUIREMENTS, COMPENSATION BENCHMARKS AND SALARY RANGES. THE INDEPENDENT CONSULTANTS INITIALLY WORKED WITH THE COMMITEE CHAIRMAN AND THEN SUBSEQUENTLY WITH THE OTHER MEMBERS OF THE COMMITEE TO IDENTIFY NECESSARY JOB POSITIONS, DEVELOP AN ORGANIZATION CHART, PREPARE JOB DESCRIPTIONS, ASSIGN PAY GRADE TO EACH POSITION, AND BENCHMARK SALARY SURVEYS FOR VARIOUS JOB POSITIONS. SALARY SURVEYS CONSIDERED HEALTH CARE ORGANIZATIONS, INVESTMENT MANAGEMENT FIRMS, AND OTHER TRUST ORGANIZATIONS. THIS BENCHMARK DATA WAS USED BY THE COMMITTEE TO ESTABLISH AND APPROVE COMPENSATION OFFERED TO THE TRUST'S FIRST CEO, CFO AND CIO, AS WELL AS ESTABLISHING PAY RANGES FOR EACH LOWER PAY GRADE. THE COMMITTEE HAS SINCE BEEN ADVISED ON A PERIODIC BASIS OF STAFFING STATUS AND ACTIVITIES. SINCE INCEPTION INDEPENDENT PERIODIC COMPENSATION STUDIES ARE PERFORMED FOR KEY POSITIONS AND FOR NEW HIRES AT HIGHER PAY GRADES. ANNUAL MERIT FUNDING BASED ON INDEPENDENT STUDY FROM A COMPENSATION CONSULTANT. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST MADE DIRECTLY TO THE ORGANIZATION. | |
| INDEPENDENT FIDUCIARY: | FORM 990, PART VII | AN INDEPENDENT FIDUCIARY HAS BEEN APPOINTED FOR BOTH CHRYSLER GROUP LLC AND GENERAL MOTORS COMPANY (BROCK SECURITIES LLC). THE INDEPENDENT FIDUCIARY IS NOT REQUIRED TO BE REPORTED IN PART VII BUT IS BEING DISCLOSED IN SCHEDULE O DUE TO THE IMPORTANT ROLE IN ADMINISTERING THE RMBT INVESTMENTS. THE FOLLOWING EXPLAINS THE ROLE AND RESPONSIBILITIES OF THE INDEPENDENT FIDUCIARY IN MORE DETAIL: PURSUANT TO ARTICLE XI OF THE TRUST AGREEMENT, THE COMMITTEE, IN ITS SOLE DISCRETION, IS INSTRUCTED TO SELECT AND APPOINT INDEPENDENT FIDUCIARIES AS NAMED FIDUCIARY AND INVESTMENT MANAGERS WHO, FROM AND AFTER THE DATE OF THE SETTLEMENT AGREEMENTS WITH EACH OF CHRYSLER GROUP LLC, AND GENERAL MOTORS COMPANY, SHALL HAVE AND EXERCISE ALL DISCRETIONARY POWER AND AUTHORITY OF THE TRUST WITH RESPECT TO THE MANAGEMENT, DISPOSITION AND VOTING OF THE RESPECTIVE SECURITIES CONTRIBUTED BY EACH OF THE AUTOMOTIVE COMPANIES, EXCEPT THAT THE RIGHT TO DESIGNATE OR REPLACE ANY DIRECTOR OF THE CONTRIBUTING AUTOMOTIVE COMPANY SHALL BE EXERCISED BY THE COMMITTEE. PURSUANT TO ITS AUTHORITY UNDER THE TRUST AGREEMENT, THE COMMITTEE HAS DELEGATED TO THE INVESTMENT SUBCOMITTEE THE AUTHORITY TO RETAIN THE INDEPENDENT FIDUCIARY AND MONITOR THE PERFORMANCE OF ITS SERVICES. THE COMMITTEE HAS THE POWER TO REMOVE AND REPLACE AN INDEPENDENT FIDUCIARY FOR CAUSE. THE INDEPENDENT FIDUCIARY IS AUTHORIZED AS FOLLOWS FOR THE RESPECTIVE SECURITIES: 1. EXERCISE DIRECTLY OR ON BEHALF OF THE TRUST, OR DIRECT THE TRUSTEE TO EXERCISE AS APPROPRIATE, ALL OF THE TRUST'S LEGAL AND CONTRACTUAL AUTHORITY AND RESPONSIBILITY AS OWNER OF THE NOTES, THE SHARES, AND ANY FUTURE SECURITIES (AS APPLICABLE) (HEREIN COLLECTIVELY REFERRED TO AS "AUTO SECURITIES") ACQUIRED BY THE TRUST, INCLUDING: A. EXERCISING ALL RIGHTS OF THE TRUST OR VEBA HOLDCO IN ITS SOLE DISCRETION INCLUDING BUT NOT LIMITED TO INITIATION OR PARTICIPATION IN THE REGISTRATION OF ANY AUTO SECURITIES; EXERCISING ALL VOTING RIGHTS WITH RESPECT TO AUTO SECURITIES, AND NEGOTIATING AND ACCEPTING ANY AMENDMENTS TO THE TRANSACTION AGREEMENTS; B. ACCEPTING ANY CONTRIBUTION OF ADDITIONAL AUTO SECURITIES; C. VALUING THE AUTO SECURITIES; D. MAKING ANY DECISION TO SELL, LOAN, HYPOTHECATE, PLEDGE AS SECURITY FOR A LOAN, EXCHANGE, CONVERT OR OTHERWISE DISPOSE OF ALL OR ANY OF THE AUTO SECURITIES; E. COMPLYING WITH ANY CONDITIONS OR LIMITATIONS IN ANY FINAL PROHIBITED TRANSACTION EXEMPTION ("PTE") ISSUED BY THE DEPARTMENT OF LABOR; F. COMPLYING OR ASSISTING AUTO IN COMPLYING AS REQUIRED IN ANY TRANSACTION AGREEMENT, WITH ANY REGULATORY OR OTHER REQUIREMENTS, INCLUDING FILING OBLIGATIONS; G. INITIATING OR PARTICIPATING IN ANY CLAIM OR SUIT AGAINST A PARTY TO ANY OF THE TRANSACTION AGREEMENTS ARISING OUT OF BREACH, OR RELATED TO THE ISSUANCE AND OWNERSHIP OF, THE AUTO SECURIITIES; H. THE INDEPENDENT FIDUCIARY MAY ALSO SELECT AND CONTRACT ON BEHALF OF THE TRUST WITH SUCH AUDITORS, APPRAISERS, ACTUARIES, INVESTMENT ADVISORS, BROKERS, DEALERS AND UNDERWRITERS, AND OUTSIDE LEGAL COUNSEL AS THE INDEPENDENT FIDUCIARY DEEMS APPROPRIATE TO ASSIST THE INDEPENDENT FIDUCIARY IN THE PERFORMANCE OF ITS DUTIES. 2. ADVISE THE COMMITTEE WITH RESPECT TO THE MANNER IN WHICH AUTO SECURITIES SHOULD BE REFLECTED OR INCORPORATED INTO THE FUNDING POLICY TO BE ADOPTED BY THE COMMITTEE. 3. REPORT AT LEAST ONCE A YEAR TO THE COMMITTEE AS A WHOLE, AND PERIODICALLY REPORT AS NECESSARY TO THE INVESTMENT COMMITTEE. |
| FOR PROFIT SUBSIDIARY PRESENTATION: | FORM 990 PART VIII AND IX | THIS FORM 990 IS FOR THE TRUST THAT ENCOMPASSES THREE PLANS. THE FORM 990 IS REPORTED AT THE TRUST LEVEL AND INCLUDES THE SUM OF THE THREE PLAN FINANCIAL STATEMENTS. PLAN FINANCIAL STATEMENT REPORTING FOR THE CHRYSLER PLAN INCLUDES THE 13 CHRYSLER HOLDCO ENTITIES AS DESCRIBED IN SCHEDULE O AND REPORTED ON SCHEDULE R. ACCORDINGLY, BASED ON THE PLAN REPORTING REQUIREMENTS, CERTAIN ACTIVITIES OF THE HOLDCO LEGAL ENTITIES ALSO APPEAR ON THE FORM 990 OF THE TAXPAYER. STATE TAXES IS AN EXAMPLE OF AN EXPENSE ITEM OF THE HOLDCO'S THAT APPEAR ON THE FORM 990 OF THE TAXPAYER. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UAW VEBA HOLDCO CH-00 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270266892 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-01 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270266962 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-02 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267005 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-03 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267044 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-04 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267079 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-05 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267225 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-06 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267268 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-07 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267295 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-08 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267453 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-09 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267494 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-10 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267527 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-11 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267573 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 37521432 | 1.00000 | 1 |
| UAW VEBA HOLDCO CH-12 LLC | |||||||||||
| PO BOX 14309 | DETROIT | MI | 48214 | 270267593 | HOLDING COMPANY | MI | UAW RETIREE MEDICAL BENEFITS TRUST | C | 18760714 | 1.00000 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 13 CHRYSLER HOLDCOS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionType |
| Amount Involved | 1924240 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | RELATED ORGANIZATIONS: | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | THE UAW RETIREE MEDICAL BENEFITS TRUST ("RMBT") HAS A 100% OWNERSHIP IN EACH OF THE THIRTEEN UAW VEBA HOLDCO ENTITIES. THESE HOLDCO COMPANIES IN TURN OWN A COMBINED 41.46% OF CHRYSLER GROUP LLC. | Explanation |