2012-10-30T18:45:46-05:00 2011-12-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990 2011-01-01 911338775 ASSOCIATION OF WASHINGTON CITIES EMPLOYEE BENEFIT TRUST ASSO 3607534137 1076 S FRANKLIN STREET OLYMPIA WA 985011346 MICHAEL MCCARTY 3607534137 2012-10-30 1 NANCY J SCHAUER P01326437 2535724100 2011 2016-02-24 21:20:13Z MICHAEL MCCARTY 1076 S FRANKLIN STREET OLYMPIA WA 98501 322874152 0 X WWW.AWCNET.ORG X 1970 WA SEE FORM 990, PART III, LINE 1. 8 8 0 0 0 0 0 0 219193893 219086920 957498 878676 0 0 220151391 219965596 0 0 258265565 132904289 0 0 0 0 0 6281623 6040771 264547188 138945060 -44395797 81020536 67611934 70257277 170821593 88778945 -103209659 -18521668 TO PROVIDE QUALITY BENEFIT PROGRAMS AND INSURANCE SERVICES TO WASHINGTON CITIES AND TOWNS IN AN EFFICIENT AND COST-EFFECTIVE MANNER THROUGH TIMELY INFORMATION, TECHNICAL ASSISTANCE, MEMBER EDUCATION AND ADVOCACY. 0 0 2771352 AS PART OF MEDICAL COST CONTAINMENT, THE WELLNESS PROGRAM IS DESIGNED TO HELP EMPLOYEES ENHANCE THEIR QUALITY OF LIFE, MAKE BETTER USE OF HEALTH CARE SERVICES, CONTRIBUTE MORE FULLY TO THEIR WORKPLACE, AND BETTER SERVE THEIR COMMUNITY. 136173708 PROVIDE PARTICIPANTS AND THEIR DEPENDENTS WITH EMPLOYEE ASSISTANCE PROGRAMS, MEDICAL, DENTAL, VISION, GROUP LIFE ACCIDENTAL DEATH AND DISMEMBERMENT AND LONG-TERM DISABILITY. 138945060 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X NORTHWEST ADMINISTRATORS 2063294900 2323 EASTLAKE AVENUE E SEATTLE WA 98102 X GLENN JOHNSON 1.00 X 0 0 0 NANCY MCLAUGHLIN 1.00 X 0 0 0 JOE GAVINSKI 1.00 X 0 0 0 ANGIE CHAUFTY 1.00 X 0 0 0 PAUL GREENLEE 1.00 X 0 0 0 TOM TRULOVE 1.00 X 0 0 0 H DEAN MAXWELL 1.00 X 0 0 0 DON GEREND 1.00 X 0 0 0 0 0 0 0 0 0 0 WEBMD 111 EIGHTH AVE NEW YORK NY 10011 HEALTH MANAGEMENT SERVICES 1013081 NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVE SEATTLE WA 98102 ADMINISTRATIVE SERVICES 528342 STAYWELL 2700 BLUE WATER RD ST PAUL MN 55121 HEALTH SCREENING SERVICES 149381 STOEL RIVES LLP 900 SW FIFTH AVE STE 2600 PORTLAND OR 97204 LEGAL 101256 4 PARTICIPANT CONTRIBUTI 623990 219083991 219083991 MISCELLANEOUS FEES 623990 2929 2929 219086920 44544 44544 103742688 102908556 834132 834132 834132 219965596 219086920 0 878676 132904289 94399 32609 203308 100728 6533 108362 20240 102337 13240 35894 ADMINISTRATIVE FEES 3670554 HEALTH MANAGEMENT 1419185 PRINTING/PUBLICATIONS/D 136988 MEMBER EDUCATION/TRAINI 96394 138945060 6873850 5023683 651981 14330 1600 0 55488793 60531558 4595710 4687706 67611934 70257277 170821593 88778945 170821593 88778945 X -103209659 -18521668 0 0 0 0 -103209659 -18521668 67611934 70257277 X 81020536 3667455 X 0 1 0 X 0 0 POOLED COMMON AND COLLECTIVE FUND 23026053 F BONDS AND NOTES 32564888 F MUTUAL FUNDS 4940617 F 60531558 ACCRUED INTEREST 5847 OTHER RECEIVABLES 19213 PREMIUMS AND SETTLEMENTS RECEIVABLE 4662646 4687706 AWC ADMINISTRATIVE FEES PAYABLE 443165 UNEARNED REVENUE 1503054 TOTAL BENEFIT PLAN OBLIGATIONS 86832726 88778945 219965596 138945060 81020536 3667455 3667455 84687991 223633051 3667455 3667455 219965596 0 219965596 220608067 81663007 81663007 138945060 0 138945060 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE TRUST IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE, DATED JUNE 20, 1989. THE TRUST BELIEVES THE PLAN CONTINUES TO QUALIFY AND TO OPERATE AS DESIGNED. FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNITION, INTEREST, PENALTIES AND DISCLOSURES REQUIRED. THE TRUST DOES NOT HAVE ANY ENTITY LEVEL UNCERTAIN TAX POSITIONS. THE TRUST FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATE JURISDICTIONS. GENERALLY, THE TRUST IS SUBJECT TO EXAMINATION BY U.S. FEDERAL (OR STATE AND LOCAL) INCOME TAX AUTHORITIES FOR THREE YEARS FROM THE FILING OF A TAX RETURN. PART XIII, LINE 2D - OTHER ADJUSTMENTS: DECREASE IN BENEFIT PLAN OBLIGATIONS 81,663,007. THE POST RETIREMENT BENEFIT OBLIGATION DECREASED 49.2 PERCENT FROM JANUARY 1, 2011 TO JANUARY 1, 2012. THE DECREASE WAS CAUSED BY SEVERAL FACTORS: AN UNEXPECTED CHANGE TO THE MEMBERSHIP BETWEEN THE LAST FULL CENSUS ON JANUARY 1 2010 AND THE CURRENT JANUARY 1, 2012 MEASUREMENT DATE; NEW RETIREES DID NOT ELECT COVERAGE AT THE RATE PREVIOUSLY ASSUMED; AND THE PARTICIPATION ASSUMPTION WAS CHANGED TO BETTER MATCH RECENT EXPERIENCE. FORM 990, PART VI, SECTION B, LINE 11 AT THE BOARD OF TRUSTEES MEETING, CPA FIRM PRESENTS FORM 990 ALLOWING THE BOARD TO REVIEW, ASK QUESTIONS, AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C 1. PROCEDURES. A. PRIOR TO AWC TRUST BOARD OF TRUSTEES OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A "RESPONSIBLE PERSON" HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. B. A RESPONSIBLE PERSON WHO PLANS NOT TO ATTEND A MEETING AT WHICH HE OR SHE HAS REASON TO BELIEVE THAT THE AWC TRUST BOARD OF TRUSTEES OR COMMITTEE WILL ACT ON A MATTER IN WHICH THE RESPONSIBLE PERSON HAS A CONFLICT OF INTEREST SHALL DISCLOSE TO THE CHAIR OF THE MEETING ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. THE CHAIR SHALL REPORT THE DISCLOSURE AT THE MEETING AND THE DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. C. A RESPONSIBLE PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE AWC TRUST BOARD OF TRUSTEES OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. SUCH PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, EITHER AT OR OUTSIDE THE MEETING. D. A RESPONSIBLE PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT WILL BE VOTED ON AT A MEETING SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. THE PERSON HAVING A CONFLICT OF INTEREST MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND SHALL NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. SUCH PERSON'S INELIGIBILITY TO VOTE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. E. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE AWC TRUST BOARD OF TRUSTEES, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF AWC TRUST BOARD OF TRUSTEES OR COMMITTEE ACTION, SHALL DISCLOSE TO THE AWC TRUST CHAIR OR THE ASSOCIATION OF WASHINGTON CITIES CEO, AS APPLICABLE, OR THE ASSOCIATION OF WASHINGTON CITIES CEO'S DESIGNEE, ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT THE AWC TRUST'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE AWC TRUST CHAIR OR THE ASSOCIATION OF WASHINGTON CITES CEO, AS APPLICABLE, OR THE ASSOCIATION OF WASHINGTON CITIES CEO'S DESIGNEE, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. 2. CONFIDENTIALITY. EACH RESPONSIBLE PERSON SHALL EXERCISE CARE NOT TO DISCLOSE CONFIDENTIAL INFORMATION ACQUIRED IN CONNECTION WITH SUCH STATUS OR INFORMATION THE DISCLOSURE OF WHICH MIGHT BE ADVERSE TO THE INTERESTS OF THE AWC TRUST. FURTHERMORE, A RESPONSIBLE PERSON SHALL NOT DISCLOSE OR USE INFORMATION RELATING TO THE BUSINESS OF THE AWC TRUST FOR THE PERSONAL PROFIT OR ADVANTAGE OF THE RESPONSIBLE PERSON OR A FAMILY MEMBER. NOTE: A "RESPONSIBLE PERSON" IS ANY AWC TRUST PARTY OR PERSON SERVING AS AN OFFICER, EMPLOYEE OR MEMBER OF THE BOARD OF DIRECTORS OF THE ASSOCIATION OF WASHINGTON CITIES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,667,455.