2012-05-11T08:53:45-05:00 2011-06-30 990 2010-07-01 066414276 YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST YALE 2034325530 C/O YALE UNIVERSITY PO BOX 208239 NEW HAVEN CT 065208239 YALE UNIVERSITY AS TRUSTEE 2034325530 2012-05-11 2010 2016-02-24 21:20:13Z YALE UNIVERSITY TRUSTEE C/O YALE UNIVERSITY PO BOX 208239 NEW HAVEN CT 065208239 332986750 0 X N/A X 1994 CT TO PROMOTE AND SUPPORT THE OBJECTIVES, PHILOSOPHIES AND BEST INTERESTS OF YALE UNIVERSITY, A TAX EXEMPT ENTITY UNDER IRC SECTION 501(C)(3). 0 0 0 0 433655 0 0 0 35671631 31755818 19569868 16914640 1260679 3117590 56502178 51788048 0 0 0 0 0 0 0 0 0 27378143 28914322 27378143 28914322 29124035 22873726 279735051 346489371 0 0 279735051 346489371 X THE PURPOSE OF THE YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST (YURHBCT) IS TO PROMOTE AND SUPPORT THE OBJECTIVES, PHILOSOPHIES AND BEST INTERESTS OF YALE UNIVERSITY, WHICH IS THE DONOR OF ASSETS HELD, MANAGED AND INVESTED BY THE 501(A) TRUST AND WHICH IS A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3). THE TRUST WILL HOLD, MANAGE AND INVEST CERTAIN ASSETS CONTRIBUTED BY YALE, AND WILL APPLY THE NET INCOME AND PRINCIPAL OF SUCH PROPERTY FOR THE SUPPORT AND BENEFIT OF YALE BY PAYING INSURANCE PREMIUMS, ADMINISTRATIVE EXPENSES, OR DIRECT REIMBURSEMENT OF MEDICAL CLAIMS FOR RETIRED FORMER EMPLOYEES AS PROVIDED UNDER YALE UNIVERSITY RETIREE MEDICAL REIMBURSEMENT PLANS. 0 0 24150508 31755818 THE EXPENSES REPRESENT THE HEALTH BENEFITS (HOSPITALIZATION, PHYSICIAN SERVICES AND MAJOR MEDICAL IN EXCESS OF MEDICARE COVERAGE, AND/OR ALL OR A PORTION OF MEDICARE PART B PREMIUMS) TO RETIRED EMPLOYEES.THE MAJORITY OF REVENUE REPRESENTS THE CONTRIBUTIONS FROM YALE UNIVERSITY, TRUSTEE OF THE TRUST, WHICH WILL BE USED TO FUND POSTRETIREMENT HEALTH BENEFITS FOR RETIRED EMPLOYEES OF YALE UNIVERSITY PURSUANT TO THE UNIVERSITY BENEFIT PLANS.THE NUMBER OF ACTIVE RETIRED OR SEPARATED PARTICIPANTS RECEIVING BENEFITS OR ENTITLED TO FUTURE BENEFITS AS OF 6/30/11 IS 16,746. 24150508 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 6 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X SHAUNA R KING YALE UNIVERSITY 2034321096 25 SCIENCE PARK 150 MUNSON STREET NEW HAVEN CT 06511 X YALE UNIVERSITY 5.00 X 0 0 0 0 0 0 0 0 0 0 MEDCO HEALTH SOLUTIONS INC 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 ADMINISTRATIVE 331701 HEWITT ASSOCIATES PO BOX 95135 CHICAGO IL 606945135 ACTUARIAL 202327 AETNA INC PO BOX 70944 CHICAGO IL 606730944 ADMINISTRATIVE 125749 3 EMPLOYER CONTRIBUTIONS 525100 28712475 28712475 PARTICIPANT CONTRIBUT. 525100 3043343 3043343 31755818 1356052 1356052 296757290 281198702 15558588 15558588 15558588 OTHER INVESTMENTS 523000 3117590 433655 2683935 3117590 51788048 31755818 433655 19598575 3737363 3737363 POSTRETIREMENT HEALTH B 24150508 24150508 CONTRACT ADMIN. FEES 611606 611606 OTHER ADMIN. EXPENSE 412472 412472 TAXES ON UBTI 2373 2373 28914322 24150508 4763814 0 136329951 119576843 143405100 226912528 279735051 346489371 0 0 X 279735051 346489371 279735051 346489371 279735051 346489371 X 22873726 43880594 X 0 0 0 X X X 0 0 0 YALE UNIVERSITY 060646973 2 1 1 1 28914322 1 28914322 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART I, LINE 1H: THE PURPOSE OF THE YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST (YURHBCT) IS TO PROMOTE AND SUPPORT THE OBJECTIVES PHILOSOPHIES AND BEST INTERESTS OF YALE UNIVERSITY, WHICH IS THE DONOR OF THE ASSETS HELD, MANAGED AND INVESTED BY THE 501(A) TRUST AND WHICH IS A TAX EXEMPT ORGANIZATION UNDER IRC SECTION 501(C)(3). CONTRIBUTIONS RECEIVED FROM YALE AND PARTICIPANTS ARE PAID TO FUND POSTRETIRMENT HEALTHCARE BENEFITS. TOTAL EXPENSES OF THE TRUST REPORTED ON PART IX, LINE 25(A) IS REPORTED ON SCHEDULE A, PART I, LINE 11H (VII), AMOUNT OF SUPPORT, AND REPRESENTS EXPENSES PAID FOR THE BENEFIT OF YALE UNIVERSITY. 0 COMMON COLLECTIVE TRUSTS 13322951 F LIMITED PARTNERSHIPS/JOINT VENTURE INTERESTS 213589577 F 226912528 51788048 28914322 22873726 43880594 43880594 66754320 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 43372724 0 0 0 0 0 0 43372724 0 43372724 1 0 1 1 1 0 FORM 990, PART VI, SECTION B, LINE 11 A MEMBER OF SENIOR MANAGEMENT OF YALE UNIVERSITY, TRUSTEE, MET WITH THE UNIVERSITY TAX OFFICE PERSONNEL TO REVIEW THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION A, LINE 1: YALE UNIVERSITY, AS TRUSTEE OF THE YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST, IS THE ONLY MEMBER OF THE ORGANIZATION. YALE UNIVERSITY IS ALSO DONOR OF THE ASSETS HELD, MANAGED AND INVESTED BY THE TRUST. FORM 990, PART VI, SECTION B, LINE 12C YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST (YURHBCT) DOES NOT HAVE ANY EMPLOYEES, VOLUNTEERS, OFFICERS OR DIRECTORS. YALE UNIVERSITY, THE TRUSTEE OF YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST (YURHBCT), HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE YALE CONFLICT OF INTEREST POLICY OBLIGATES EACH OFFICER, TRUSTEE, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS TO PROMPTLY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS DEFINED IN THE POLICY. EACH SUCH PERSON MUST SIGN A STATEMENT ANNUALLY AFFIRMING THAT HE OR SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTOR AND MEMBERS OF THE COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST, THE INTERESTED PERSON IS EXCUSED FROM THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS MADE AND IS RECUSED FROM PARTICIPATING IN ANY VOTE ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 13: YALE UNIVERSITY RETIREE HEALTH BENEFITS COVERAGE TRUST (YURHBCT) DOES NOT HAVE ANY EMPLOYEES, VOLUNTEERS, OFFICERS OR DIRECTORS. YALE UNIVERSITY, TRUSTEE OF YURHBCT, HAS A WRITTEN WHISTLEBLOWER POLICY. ANY EMPLOYEES OF YALE UNIVERSITY WHO DEAL WITH YURHBCT ARE SUBJECT TO YALE UNIVERSITY'S WRITTEN POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING ANY AMENDMENTS, AND FINANCIAL STATEMENTS, TO THE EXTENT PROVIDED AS A PART OF ITS EXEMPTION APPLICATION OR ANNUAL FORM 990, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE YALE UNIVERSITY STANDARDS OF BUSINESS CONDUCT IS AVAILABLE ON THE UNIVERSITY'S WEBSITE OR UPON REQUEST. FORM 990, PART VIII, LINE 11 BUSINESS ACTIVITY CODE 236000 310000 446199 453000 517000 531120 531310 531390 623000 713910 721110 900002 FORM 990, PART VIII, LINE 7: GROSS AMOUNT FROM SALES OF ASSETS OTHER THAN INVENTORY (I) SECURITIES: THE CAPITAL GAINS AND LOSSES RESULT PRIMARILY FROM THE SALES OF PUBLICLY TRADED SECURITIES INCLUDING COMMON STOCKS AND REGISTERED INVESTMENT COMPANIES' SHARES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 43,880,594. YALE UNIVERSITY PO BOX 208239 NEW HAVEN CT 065208239 060646973 EDUCATION, RESEARCH, COMMUNITY SERVICE CT 501(C)(3) 2 N/A 0 HEALTH BENEFITS HOLDINGS INC C/O YALE UNIVERSITY PO BOX 208239 NEW HAVEN CT 065208239 061559155 HOLDS INVESTMENTS CT 501(C)(2) N/A YALE UNIVERSITY 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0