2025-03-12T18:53:38-04:00 2024-04-30 WITHUMSMITHBROWNPC 6101 BOLLINGER CANYON RD STE 400 SAN RAMON CA 94583 990 2023-05-01 237122650 SERVICE EMPLOYEES HEALTH AND WELFARE TRUST % NORTHWEST ADMINISTRATORS INC SERV 2063294900 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 SERGIO SALINAS CHAIRMAN 2063294900 2025-03-11 true true ALBERT LEECH P01797541 9252779100 2023 2025-03-06 01:10:19Z SERGIO SALINAS 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 61320236 false X N/A X 1970 WA TO PROVIDE HEALTH & WELFARE BENEFITS IN A MULTIEMPLOYER PLAN. 5 1 0 8 0 0 0 0 42608229 42348097 1038334 1063486 2707 87820 43649270 43499403 0 0 44191972 42358202 0 0 0 0 0 2567887 2745754 46759859 45103956 -3110589 -1604553 46931676 41770335 15345746 11742812 31585930 30027523 TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THIS MULTIEMPLOYER PLAN. false false PROVIDED HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THIS MULTIEMPLOYER PLAN. false false false false false false false false false false false false 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 true false false true 3 0 true 0 false false false false false false false false X 5 1 false true false false false false false true false false true true true true false true false false false WA X NORTHWEST ADMINISTRATORS INC 2063294900 2323 EASTLAKE AVE E Seattle WA 98102 X X SERGIO SALINAS CHAIRMAN 1.0 0.0 X X 0 0 0 CHARLIE JONES SECRETARY 1.0 0.0 X X 0 0 0 JIM RAGSDALE TRUSTEE 1.0 0.0 X 0 0 0 ELIZABETH CRANSTON Alternate TRUSTEE 1.0 0.0 X 0 0 0 GREG RAMIREZ TRUSTEE 1.0 0.0 X 0 0 0 ZENIA JAVALERA TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL MENDONCA Alternate TRUSTEE 1.0 0.0 X 0 0 0 ELSA OGBE Alternate TRUSTEE 1.0 0.0 X 0 0 0 SEE SCH O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false PREMERA 7001 220TH ST SW SEATTLE WA 98108 CLAIMS PROCESSING 2095210 DELTA DENTAL 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 CLAIMS PROCESSING 139647 NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 THIRD PARTY ADMIN 215552 VOYA 20 WASHINGTON AVE SOUTH MINNEAPOLIS MN 55401 CLAIMS PROCESSING 1069596 4 0 EMPLOYER CONTRIBUTION 900099 42302881 42302881 EMPLOYEE CONTRIBUTION 900099 45216 45216 42348097 1463221 1463221 0 0 0 0 0 17421098 17820833 -399735 -399735 -399735 0 0 0 0 0 0 0 0 0 SETTLEMENT INCOME 900099 73094 73094 OTHER INCOME 900099 440 440 LIQUIDATED DAMAGES AND FEES 900099 14286 14286 87820 43499403 42435917 0 1063486 0 0 0 42358202 0 0 0 0 0 0 2444948 46309 92868 0 0 54685 51674 0 19276 0 0 0 0 0 2008 0 0 0 16872 ACA-PCORI FEES 15338 ARPA COBRA EXPENSES 1776 45103956 X 0 0 1464651 1452355 0 0 7969925 5968364 0 0 0 0 0 0 0 0 23729 6824 0 0 37473371 34342792 0 0 0 0 0 0 0 0 46931676 41770335 26627 22362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15319119 11720450 15345746 11742812 X 0 0 0 0 31585930 30027523 31585930 30027523 46931676 41770335 -1604553 46146 X X false true X true false 0 CLAIMS INCURRED BUT NOT REPORTED 5063000 PREMIUM PAY-PEPM 6399157 PREMIUM PAYABLE 258293 11720450 X 43490864 46146 46146 43444718 54685 54685 43499403 48647940 48647940 54685 -3598669 -3543984 45103956 Part X Line 2 Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and to recognize a tax liability if the Plan has taken an uncertain position that, more likely than not, would not be sustained upon examination by the Internal Revenue Service. The Plan has analyzed the tax positions taken by the Plan and has concluded that, as of APRIL 30, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The Plan is subject to routine audits by the taxing jurisdictions; however, there are currently no audits for any tax periods in progress. PART XII, LINE 4B-OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3: THE TRUST HAS CONTRACTED WITH NORTHWEST ADMINISTRATORS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B: THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: FORM 990 REVIEWED BY THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C: THE TRUSTEES ARE REQUIRED TO ANNUALLY PROVIDE A WRITTEN STATEMENT THAT THEY ARE NOT AWARE OF ANY CONFLICTS OF INTEREST. TRUSTEES WITH CONFLICTS OF INTEREST SHALL RECUSE THEMSELVES FROM DISCUSSIONS, VOTES, OR ATTEMPTS TO INFLUENCE THE ISSUE OR DECISION THAT IS IMPACTED. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S GOVERNING DOCUMENT, CONFLICT-OF-INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 6: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED TAX-EXEMPT ORGANIZATIONS IS REPORTED ON FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ANY ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. SEE PART VII See PART VII false false false false false false false false false false false false false false false false false false FORM 990, SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF APRIL 30, 2024, THERE ARE 39 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES, AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX-EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII, BELOW, AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. A&A MAINTENANCE ENTE ABLE BUILDING MAINTE ALLIANCE BUILDING SE AMERICAN BUILDING MA BERTSCH, KATHLEEN L BLACKSTONE CONSULTIN BLDG OWNER & MGRS AS C W FACILITY SERVICE DIAZ, ERNESTO R DIVERSE FACILITY SOL ENVIRONMENTAL SERVIC EVERGREEN BUILDING S FLAGSHIP FACILITY SE GDI SERVICES, INC. - HERNANDEZ, JESUS R INNOVATIVE FACILITY ISS FACILITY SERVICE LABOR 1992 CORPORATI LAKESIDE SCHOOL MEMBERS FIRST, LLC METROPOLITAN BUILD M PACIFIC BUILDING SER PRITCHARD SPORTS & E RYTHER CHILD CENTER SANCHEZ, EDGAR SANFORD HILDEBRANDT SANITRONICS SBM SITE SERVICES - SCC FACILITY SERVICE SEATTLE MAINTENANCE SEIU/PUBLIC SAFETY L SERVICE EMPLOYEES CO SERVICE EMPLOYEES LO SOUTHEAST AIRPORT SE SWEETEN, DAVID UG2 - WESTFIELD SOUT WHAYNE ENTERPRISES WILL'S CLEANING SERV ZERFINESH WOLDE