2012-03-15T09:44:47-05:00 2011-06-30 BJORKLUND & MONTPLAISIR CPA'S 9020 SW WASHINGTON SQ RD SUITE 46 PORTLAND OR 97223 990 2010-07-01 936021474 MONTANA TEAMSTERS - CONTRACTORS EMPLOYERS TRUST MONT 2063294900 2323 EASTLAKE AVE E SEATTLE WA 981023305 EARL BRANDT 2063294900 2012-01-20 true RICHARD A LAYNE 5036436400 2012-01-08 2010 2016-02-24 21:20:13Z 17611994 false X X TO PROVIDE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 8 8 0 0 0 16654847 16603855 214362 352695 127156 143571 16996365 17100121 0 15459904 15761884 0 0 0 1039468 1013214 16499372 16775098 496993 325023 16939871 17979138 3919951 4666705 13019920 13312433 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false false false false false false false false false false false false true false 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 260 0 true 0 false false false false false false X 8 8 false false false false false false false true true false false true true true true true true false false false X NW ADMINISTRATORS 2063294900 2323 EASTLAKE AVE E AVENUE E SEATTLE WA 98102 X JOHN HAVEN 1.00 X 0 0 0 DON THRUSH 1.00 X 0 0 0 EARL BRANDT 1.00 X X 0 0 0 DAN DOOGAN 1.00 X 0 0 0 JOE DWYER 1.00 X 0 0 0 JIM LARSON 1.00 X X 0 0 0 BRIAN PERSON 1.00 X 0 0 0 JAMES STONE 1.00 X 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE SEATTLE WA 981023305 ADMINISTRATION 519464 FIRST HEALTH NETWORK 1260 MEANLEY DRIVE SAN DIEGO CA 92131 PPO 132857 2 EMPLOYER CONTRIBUTION 15588771 15588771 PARTICIPANT CONTRIBUTION 1015084 1015084 16603855 364568 364568 500000 511873 -11873 -11873 -11873 MEDICARE PART D SUBSIDY 121058 121058 COBRA SUBSIDY 12811 12811 ERRP 5024 5024 4678 4678 143571 17100121 17100121 15761884 16980 20509 45279 628852 22594 9313 PPO NEGOTIATED SAVINGS 182035 UTILIZATION FEES 32404 BANK FEES 27599 PRINT, MAILING, SUPPLIES 26965 OTHER 684 16775098 0 0 0 3339901 67068 4302795 4144505 1426662 1392213 6573 6520 7692862 12105953 171078 262879 16939871 17979138 3579951 4386705 340000 280000 3919951 4666705 X 13019920 13312433 13019920 13312433 16939871 17979138 325023 -32510 X false true true X false false false false false false false false false false false ACCUMULATED ELIGIBILITY CREDITS 280000 280000 17100121 16775098 325023 -32510 720739 688229 1013252 17022332 -32510 -32510 17054842 45279 45279 17100121 16009080 16009080 45279 720739 766018 16775098 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 CHANGE IN BENEFIT LIABILITIES 720,739 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B CHANGE IN BENEFIT LIABILITIES 720,739 ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE CHAIRMAN AND SECRETARY OF THE BOARD OF TRUSTEES AND THE ATTORNEY FOR THE TRUST REVIEW FORM 990 PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE TRUSTEES ARE REMINDED OF THEIR DUTY TO DISCLOSE ANY CONFLICT THAT THEY ARE AWARE OF. AN ANNUAL QUESTIONNAIRE IS REQUIRED TO BE FILLED OUT BY TRUSTEES AND SERVICE PROVIDERS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.