2012-03-22T18:09:40-05:00 2011-11-30 L M HENDERSON & COMPANY LLP 450 E 96TH ST STE 200 INDIANAPOLIS IN 46240 990 2010-12-01 350923209 INDIANA LABORERS WELFARE FUND INDI 8122382551 PO BOX 1587 TERRE HAUTE IN 47808 FRANK DEGRAW 8122382551 2012-03-17 true MICHELLE L ZIMMERMAN 3175661000 2012-03-22 2010 2016-02-24 21:20:13Z FRANK DEGRAW PO BOX 1587 TERRE HAUTE IN 47808 286051649 false X NOT APPLICABLE X 1953 IN PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS 14 14 205 0 0 79197721 80880920 6327613 8393388 0 85525334 89274308 0 59688145 66040097 2308739 2219951 0 0 4921014 4872796 66917898 73132844 18607436 16141464 190179949 205047764 3607334 10705725 186572615 194342039 PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS false false 73098377 88131713 PROVIDE UNDER COLLECTIVE BARGAINING FINANCIAL SUPPORT FOR PROGRAMS OF LIFE INSURANCE, HEALTH, ACCIDENT, AND OTHER RELATED BENEFITS TO APPROXIMATELY 9,656 PARTICIPANTS. 73098377 false false false false false false false false false true false false true 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 847 0 205 true false false false false false false X 14 14 false false false false false false false true true false false true true true true false true true true false IN X JANETTA ENGLAND 8122382551 413 SWAN STREET TERRE HAUTE IN 47807 X FRANK DEGRAW 0.00 X X 0 0 0 JACK BAKER X 0 0 0 DOUGLAS S BANNING JR X 0 0 0 TOM FLEENOR X 0 0 0 BRIAN KRIEG X 0 0 0 EDWARD T HAZLEDINE X X 0 0 0 WILLIAM HASSE III X 0 0 0 MARK STERN X 0 0 0 WILLIAM K ROACH X 0 0 0 DAVID FRYE X 0 0 0 FRANCIS GANTER X 0 0 0 JIM TERRY X 0 0 0 MIKE MCCANN X 0 0 0 JAMES W DANIELS X 0 0 0 false false false ANTHEM INC 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 MED CLAIMS PROC 2987306 SMITH GRAHAM & CO 6900 CHASE TOWER 600 TRAVIS ST HOUSTON TX 77002 INVESTMENT MGR 327459 DELTA DENTAL PO BOX 30416 LANSING MI 489097916 DENT CLAIMS PRO 268306 MED-CARE MANAGEMENT PO BOX 20564 WEST PALM BEACH FL 334160564 MED CLAIM REVIE 258788 IFM GLOBAL INFRASTRUCTURE 99 PARK AVENUE SUITE 1920 NEW YORK NY 10016 INVESTMENT FEES 234600 5 EMPLOYER CONTRIBUTIONS 525100 70885980 70885980 PARTICIPANT CONTRIBUTIONS 525100 8157832 8157832 ERRP REIMBURSEMENT 525100 1046878 1046878 ADMINISTRATIVE FEES 525100 718842 718842 INTEREST ON CONTRIBUTIONS 525100 40225 40225 31163 31163 80880920 7267541 7267541 197903188 196777341 1125847 1125847 1125847 89274308 89274308 66040097 127462 1316975 257833 335596 182085 61892 38819 9404 305238 56911 114807 16238 69747 23006 ANTHEM ACCESS FEES 2987306 INVESTMENT EXPENSES 749217 MED CARE MANAGEMENT FEES 258788 ACTUARIAL FEES 76500 OTHER ADMINISTRATIVE FEES 63754 41169 73132844 0 0 0 12673228 11241812 6291215 7210769 28456 28601 2004546 1323223 577004 681323 133337405 146543607 37272641 39341652 190179949 205047764 3607334 2872714 7833011 3607334 10705725 X 186572615 194342039 186572615 194342039 190179949 205047764 X 16141464 -8372040 X false true true X false false false false false false false false false false false 52103 52103 1524554 973317 551237 427889 349906 77983 681323 LIMITED PARTNERSHIPS 17459097 GROUP ANNUITY INS. CONTRACT 10808862 COLLECTIVE FUND 9249308 MEDICARE PART D REIMBURSEMENT 942661 ACCRUED INTEREST & DIVIDENDS 812398 OTHER RECEIVABLES 39725 ACCRUED INTEREST ON CONTRIBUTIONS 29601 39341652 CLAIMS INCURRED BUT NOT REPORTED 7150004 DUE TO OTHER FUNDS 508011 MEDICAL CLAIMS PAYABLE 174996 7833011 89274308 73132844 16141464 -1047040 -1047040 15094424 86759209 -1047040 -1047040 87806249 749217 718842 1468059 89274308 71664785 71664785 749217 718842 1468059 73132844 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE WELFARE FUND IS TAX EXEMPT UNDER INTERNAL REVENUE CODE PARAGRAPH 501 (C)(9). THE EXEMPTION RULING WAS OBTAINED MAY 10, 1957. THE WELFARE FUND OBTAINED ITS LATEST DETERMINATION LETTER ON JANUARY 11, 1983 IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE PLAN, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THE PLAN HAS BEEN RESTATED AND AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN'S ADMINISTRATOR, LEGAL COUNSEL, AND CONSULTANT, BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, THEY BELIEVE THAT THE PLAN WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2011 AND NOVEMBER 30, 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FUND ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 ADMINISTRATIVE FEES RECEIVED -718,842 ADMINISTRATIVE FEES RECEIVED 718,842 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B ADMINISTRATIVE FEES RECEIVED 718,842 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B ADMINISTRATIVE FEES RECEIVED 718,842 ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE SECRETARY-TREASURER PRIOR TO SIGNING AND FILING THE RETURN. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE TRUST FUND CONFORMS WITH ERISA RULES AND REGULATIONS WITH REGARD TO DISCLOSURE AND REVIEW OF POTENTIAL CONFLICTS OF INTEREST. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR ALL EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR ALL EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FUND PROVIDES A SUMMARY ANNUAL REPORT TO ALL PARTICIPANTS CONTAINING INSTRUCTIONS FOR OBTAINING A COPY OF THE FINANCIAL STATEMENTS AND FORM 5500. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 FORM 990, PART I, LINE 21 - THE BALANCE OF NET ASSETS HAS BEEN REDUCED BY PREVIOUSLY EXISITING BALANCES THAT HAVE BEEN RECLASSIFIED AS LIABILITIES FOR THE TAX YEAR ENDED 11/30/2011 AS FOLLOWS: MEDICAL CLAIMS PAYABLE: 174,996 CLAIMS INCURRED BUT NOT REPORTED: 7,150,004