 |
WESTERN PACIFIC SERVICE WORKERS FUND
1001 Lake Blvd.
Pacific Grove, CA 93950-4222
County: Monterey
(831)000-0000
Mr. Ralph Benson, Fund Administrator
Plan Name: Western Pacific Service Workers
Insurance Fund
Benefits: Health, Life, Dental, Vision |
| Bus. Code |
722110 |
|
Plan Year End |
7/31/2006 |
| Funding |
Trust |
|
Eff Date |
8/1/54 |
| Active Participants |
1,268 |
|
Ret-Sep Future Bens |
- |
| Ret-Sep Receiving Bens |
55 |
|
Deceased |
- |
| Approx. Employees |
1,214 |
|
Total Participants |
1,323 |
| |
| Contributions |
|
|
Benefits Paid |
|
| Employer Contribs |
$5,991,795 |
|
Direct to Participants |
5,265,702 |
| Participant Contribs |
$92,582 |
|
To Insurance Carriers |
$334,354 |
| Other Contribs |
0 |
|
Other |
- |
| Non-Cash Contribs |
0 |
|
Total Benefits |
$5,600,056 |
| Total Contribs |
$6,084,377 |
|
|
|
| |
| Total Income |
$6,142,069 |
|
Total Adm. Expenses |
$394,375 |
| Total Expense |
$5,994,431 |
|
Total Assets |
$2,364,731 |
| Net Income |
$147,638 |
|
|
|
 |
| Insurance Carrier |
Union Labor Life |
|
Carrier Code |
69744 |
| Benefits |
Other (Pooled Life Insurance) |
|
Policy Year End |
7/31/05 |
| Participants |
12 |
|
|
|
| Non-experience Rated Premiums |
$1,475 |
|
|
|
|
| Insurance Carrier |
Union Labor Life |
|
Carrier Code |
69744 |
| Benefits |
Stop Loss |
|
Policy Year End |
7/31/05 |
| Participants |
1,054 |
|
|
|
| Non-experience Rated Premiums |
$221,811 |
|
|
|
|
| Insurance Carrier |
Union Labor Life |
|
Carrier Code |
69744 |
| Benefits |
Other (AD&D) |
|
Policy Year End |
7/31/05 |
| Participants |
1,627 |
|
|
|
| Non-experience Rated Premiums |
$2,519 |
|
|
|
| |
| Provider(s) |
|
|
|
Fees |
| Zenith Administrators |
|
Contract Administrator |
|
$57,533 |
| Trucker-Huss |
|
Legal |
|
$31,279 |
| Ralph Benson |
|
Other |
|
$49,894 (salary) |
| Rael & Letson |
|
Consulting |
|
$27,947 |
| Miller Kaplan Arase & Co LLP |
|
Accounting |
|
$18,700 |
| Other administrative salaries |
|
|
|
$13,140 |
| Eugene Miller |
|
Legal |
|
$6,000 |
| |
| NOTE: This plan was collectively bargained. |
|
|
|
| ILLINOIS-CHICAGO |
BOOK NO. 15 |
PINE RIVER GROUP
200 S. Wacker Dr. Ste 1001
Chicago, IL 60606-5810
County: Cook
(312)999-9999
Mr. Fred Pryor, VP, Human Resources
Ms. Betty Kirk, Emp. Benefits Mgr
Mr. Paul Strong, CFO
Plan Name: Pine River Group Health program
Benefits: Health |
| Bus. Code |
335900 |
|
Plan Year End |
12/31/2005 |
| Active Participants |
3,123 |
|
Ret-Sep Future Bens |
0 |
| Ret-Sep Receiving Bens |
0 |
|
Deceased |
0 |
| Approx. Employees |
6,968 |
|
Total Participants |
3,123 |
| |
| Contributions |
|
|
Benefits Paid |
|
| Employer Contribs |
$8,187,473 |
|
Direct to Participants |
11,300,285 |
| Participant Contribs |
$4,626,762 |
|
To Insurance Carriers |
$153,062 |
| Other Contribs |
0 |
|
Other |
0 |
| Non-Cash Contribs |
0 |
|
Total Benefits |
$11,453,347 |
| Total Contribs |
$12,814,235 |
|
|
|
| |
| Total Income |
$13,051,102 |
|
Total Adm. Expenses |
$1,366,953 |
| Total Expense |
$12,820,300 |
|
Total Assets |
$2,426,519 |
| Net Income |
$230,802 |
|
|
|
|
| Insurance Carrier |
Healthsource NC, Inc. |
|
Carrier Code |
95132 |
| Benefits |
Health |
|
Policy Year End |
3/31/06 |
| Participants |
25 |
|
|
|
| Non-experience Rated Premiums |
$45,549 |
|
|
|
|
| Insurance Carrier |
Health Plan of New York (HIP) |
|
Carrier Code |
55247 |
| Benefits |
Health |
|
Policy Year End |
3/31/05 |
| Participants |
164 |
|
|
|
| Non-experience Rated Premiums |
$246,912 |
|
|
|
|
| Insurance Carrier |
John Alden Life Insurance |
|
Carrier Code |
65080 |
| Benefits |
Stop Loss |
|
Policy Year End |
12/31/05 |
| Participants |
2,716 |
|
|
|
| Non-experience Rated Premiums |
$153,062 |
|
|
|
| Agent-Broker |
|
Deanwood Insurance Brokers
135 S LaSalle St., Chicago, IL 60603-4177 |
| Commission |
$3,827 |
|
Fee |
$3,827 |
| |
| Provider(s) |
|
|
|
Fees |
| United Healthcare |
|
Contract Administrator |
|
$1,230,704 |
| Caremark |
|
Medical |
|
$17,180 |
| MetLife |
|
Contract Administrator |
|
$112,495 |
Trustees:
The Northern Trust Company
Pine River VEBA Trust
|
|
|
|
