2012-03-05T08:30:35-08:00 2011-04-30 KELLEY GALLOWAY & COMPANY PSC 2186 VICTORY PARKWAY CINCINNATI OH 45206 990 2010-05-01 310782819 LOCAL 212 IBEW HEALTH & WELFARE TRUST FUND LOCA 5138614800 5179 FISHWICK DRIVE CINCINNATI OH 45216 RITA MCLUCAS 5138614800 2012-02-23 JOHN C LAYNE 5138611686 X 2010 2016-02-24 21:20:13Z RITA MCLUCAS 5179 FISHWICK DR 103 CINCINNATI OH 45216 13614556 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 34 0 0 0 10526548 10982453 892263 961356 3199713 792187 14618524 12735996 0 10793497 8294404 88 2570 0 0 1514502 1447313 12308087 9744287 2310437 2991709 20375599 22838442 4426650 3897784 15948949 18940658 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 true false false true 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 false false false false true 2 0 34 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 5179 FISHWICK DR SUITE 103 CINCINNATI OH 45216 HOWARD MAYERS 1.00 X 0 0 0 TOM LOTT 1.00 X 0 0 0 KEVIN BROXTERMAN 1.00 X 0 0 0 KURT KUBE 1.00 X 0 0 0 RANDY ROTHERT 1.00 X 0 0 0 RICHARD MCDONALD 1.00 X 0 2570 0 2570 false false false HUMANA HEALTH PLAN INC PO BOX 528 CAROL STREAM IL 60132 BENEFIT ADMINISTRATION 565183 HUMANA HEALTH PLAN INC PO BOX 528 CAROL STREAM IL 60132 STOP LOSS INSURANCE 337473 LOCAL 212 IBEW BENEFIT OFFICE 5179 FISHWICK DR SUITE 103 CINCINNATI OH 45216 ADMINISTRATION 139594 3 CONTRACTOR CONTRIBUTIONS 900099 8505980 SELF PAYMENTS 900099 2476473 10982453 939916 900000 878560 21440 21440 21440 SUBROGATION CLAIMS 900099 12467 12467 UNREALIZED APPRECIATION 900099 740498 740498 STOP LOSS PROCEEDS 900099 34954 34954 4268 4268 792187 12735996 12735996 8294404 8294404 2570 2570 PPO ADMINSTRATIVE FEES 565183 565183 ADMINISTRATIVE EXPENSES 484208 484208 INSURANCE-STOP LOSS 337473 337473 CLAIMS REVIEW EXPENSES 45135 45135 FED TAX ON DISABILITY 5416 5416 9898 9898 9744287 9744287 1010553 1290989 593230 831917 17185960 18998609 1585856 1716927 20375599 22838442 4426650 3897784 4426650 3897784 X 15948949 18940658 15948949 18940658 20375599 22838442 2991709 X false true true X false ACCRUED INTEREST INCOME 28144 RECEIVABLES FROM OTHER FUNDS 1204264 OTHER 284886 PREPAID EXPENSES 199633 1716927 12735996 9744287 2991709 -513431 -513431 2478278 12742461 6465 6465 12735996 12735996 10264183 6465 6465 10257718 -513431 -513431 9744287 Pt X ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES 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 PERIODS PRIOR TO 2007. Pt XII Line 2d RECIPROCITY PAYMENTS Pt XIII Line 2d RECIPROCITY PAYMENTS Pt XI Line 8 CHANGE IN CLAIMS PAYABLE: CLAIMS PAYABLE AT 4/30/10 $(3,494,397) CLAIMS PAYABLE AT 4/30/11 2,980,966 REDUCTION IN BENEFITS EXPENSE (513,431) Pt XIII Line 4b CLAIMS PAYABLE AT 4/30/10 $(3,494,397) CLAIMS PAYABLE AT 4/30/11 2,980,966 REDUCTION IN BENEFITS EXPENSE (513,431) Pt VI-A, 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-B, 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-B, Line 12c THE ORGANIZATION INFORMALLY MONITORS ITS CONFLICTS OF INTEREST POLICY UNDER DIRECTION OF THE GOVERNING BOARD AND THE PLAN ADMINISTRATOR. Pt VI-B, 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. Form 990, Part IX, Line 24f MISCELLANEOUS 9898. 9898.