2024-06-12T11:48:30-05:00 2023-07-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-08-01 916029124 PUGET SOUND ELECTRICAL WORKERS HEALTHCARE TRUST FUND PUGE 2064417574 PO BOX 34203 SEATTLE WA 98124 JANET LEWIS TRUSTEE 2064417574 2024-06-10 1 JANET LEWIS 999009999 0 MICHAEL T MEAD CPA P01893207 4252506100 2024-06-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JANET LEWIS PO BOX 34203 SEATTLE WA 98124 303330653 0 X WWW.PSEWTRUSTS.COM X 1954 WA PROVIDE HEALTH AND VACATION BENEFITS 6 0 53 6 0 0 0 0 123709594 126419880 3679827 1757165 670687 400261 128060108 128577306 0 0 115784923 136765053 0 0 0 0 0 6779979 6906907 122564902 143671960 5495206 -15094654 87862147 82017887 56790769 64928532 31071378 17089355 PROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 0 0 PROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS SPECIFIED BY THE PLAN. 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 1812 0 1 53 1 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X WELFARE & PENSION ADMINISTRATION SERVICE INC 2064417574 7525 SE 24TH ST 200 MERCER ISLAND WA 98040 X X JANET LEWIS CHAIRMAN 1.00 X X 0 0 0 SEAN BAGSBY TRUSTEE 1.00 X 0 0 0 GILLIAN BURLINGHAM TRUSTEE 1.00 X 0 0 0 BARRY SHERMAN SECRETARY 1.00 X X 0 0 0 MICHAEL BROBERG TRUSTEE 1.00 X 0 0 0 MARV NELSON TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 WELFARE & PENSION ADMINISTRATION SERVICE 7525 SE 24TH ST SUITE 200 MERCER ISLAND WA 98040 THIRD PARTY ADMINISTRATION 3418956 PREMERA BLUE CROSS 7001 200TH SW MOUNTLAKE TERRACE WA 98043 CLAIMS ADMINISTRATION 1759846 ELIXIR SOLUTIONS 1100 INVESTMENT BOULEVARD EL DORADO HILLS CA 95762 PHARMACY BENEFIT MANAGEMENT 250126 ZELIS CLAIMS INTEGRITY 2 CROSSROADS DRIVE BEDMINISTER NJ 07921 MANAGED CARE CLAIMS ADMINISTRATION 245460 COMAGINE HEALTH 10700 MERIDIAN AVE N SUITE 100 SEATTLE WA 98133 UTILIZATION REVIEW & CASE MANAGEMENT 233853 8 EMPLOYER CONTRIBUTIONS 900099 121420975 121420975 EMPLOYEE CONTRIBUTIONS 900099 4998905 4998905 126419880 1898438 1898438 174612074 174753347 -141273 -141273 -141273 REIMBURSEMENT 900099 345155 345155 LITIGATION INCOME 900099 32342 32342 REFUNDS 900099 18415 18415 4349 4349 400261 128577306 126820141 0 1757165 136765053 1006281 122260 180541 109796 5172277 252961 5647 71 7897 49176 143671960 4186863 1990423 10860354 12599312 46178 43522 72768752 67384630 87862147 82017887 266786 374429 829000 812000 55694983 63742103 56790769 64928532 X 0 0 0 0 31071378 17089355 31071378 17089355 87862147 82017887 -15094654 1112631 0 X X 0 1 X 1 0 0 UNION DUES PAYABLE 2412273 CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED 19965766 ACCUMULATED ELIGIBILITY CREDITS 36619000 RECIPROCITY PAYABLE 526000 PRESCRIPTION CLAIMS PAYABLE 1507700 VACATION BENEFITS PAYABLE 2711364 63742103 X 129580141 1112631 1112631 128467510 109796 109796 128577306 135360518 0 135360518 109796 8201646 8311442 143671960 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS 8,201,646. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE 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. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JULY 31, 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. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE TRUST ARE MANAGED BY WELFARE & PENSION ADMINISTRATION SERVICE, INC. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS REVIEWED BY THE TRUSTEES PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY APPLIES TO ALL PERSONS DEFINED UNDER ERISA AS PARTIES-IN-INTEREST. ALL PARTIES-IN-INTEREST ARE REQUIRED TO DISCLOSE PROHIBITIED TRANSACTIONS TO THE TRUSTEES. IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF TRUSTEES WILL CONDUCT AN INVESTIGATION AND ISSUE A REPORT OF THE FINDINGS. IF A PROHIBITED TRANSACTION HAS OCCURRED, THE TRUSTEES WILL TAKE APPROPRIATE ACTION, INCLUDING REPORTING SUCH OCCURRENCE TO THE APPROPRIATE FEDERAL AGENCY AND DOCUMENTING SUCH ACTION IN THE MINUTES OF THE BOARD OF TRUSTEES MEETING. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUIRED DOCUMENTS, POLICIES, STATEMENTS, ETC. ARE AVAILABLE 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 ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS AND METHOD FOR SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART XI, LINE 8: TO REFLECT CONTRIBUTIONS RECEIVABLE DURING JUNE 30, 2022 PLAN YEAR NOT ON FORM 990 WHICH APPEARED ON AUDITED FINANCIAL STATEMENTS. PART VI SECTION A LINE 3 THE PLAN HAS CONTRACTED WITH WELFARE & PENSION ADMINISTRATION SERVICE, INC. TO PROVIDE DAY-TO-DAY ADMINISTRATIVE SERVICES TO THE PLAN. PART VI SECTION B LINE 11B A COMPLETE COPY OF THIS FORM 990 WAS PROVIDED TO ALL OF THE TRUSTEES OF THE TRUST. IN ADDITION, A TRUSTEE REVIEWED THE FORM 990 PRIOR TO FILING THE FORM WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, WELFARE & PENSION ADMINISTRATION SERVICE, INC. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE PROCESS HAS NOT CHANGED. FORM 990, PART V, LINE 2A, AND PART IX, LINE 4 THE PLAN PROVIDES TAXABLE DISABILITY PAYMENTS TO ELIGIBLE PARTICIPANTS AND REPORTS THOSE BENEFITS ON FORM W-2. THESE BENEFITS ARE INCLUDED ON FORM 990, PART IX, LINE 4. PUGET SOUND ELECTRICAL WORKERS 401(K) SAVINGS PLAN PO BOX 34203 SEATTLE WA 98124 916180326 PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEES WA 501(A) N/A N/A 0 PUGET SOUND ELECTRICAL WORKERS PENSION PLAN 2815 SECOND AVE SUITE 300 SEATTLE WA 98121 916180333 PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEES WA 501(A) N/A N/A 0 INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS LOCAL 46 19802 62ND AVENUE SOUTH KENT WA 98032 910267931 SPONSORING LOCAL WA 501(C)(5) N/A N/A 0 PUGET SOUND CHAPTER NECA 16001 AURORA AVE N SUITE 200 SHORELINE WA 98133 910552828 SPONSORING ASSOCIATION WA 501(C)(6) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTI-EMPLOYER TRUST THAT PROVIDES HEALTH BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JULY 31, 2022, THERE ARE APPROXIMATELY 198 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 ADMINISTRATION 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. 16 D, LLC AAAC ELECTRIC AC ELECTRIC SERVICE ADVANCED HEATING & ADVANCED POWER LLC ALL CITY ELECTRIC INC ALL WIRE ELECTRIC INC ALLIED ELECTRIC SERVIC AMAYA ELECTRIC AMERICAN EAGLE SYSTEMS ANGELES ELECTRIC INC ANM ELECTRIC INC APEX ELECTRICAL GROUP ARC ELECTRIC & LIGHTIN ARDAGH, DBA ST GOBAIN ARTISAN ELECTRIC INC ASHFORD ELEC & CONSTR ASSA ABLOY ENTRANCE ASTOR ELECTRIC LLC ATLAS ELECTRICAL CONT ATOMIC ELECTRIC INC AULT ELECTRIC SERVICES BES ELECTRICAL SERVICE BEST TECH INC BETSCHART ELECTRIC BLUECORE POWER, LLC BOWIE ELECTRIC SERVICE BOYER ELECTRIC BRIDGE ELECTRIC BURKE ELECTRIC LLC C3M POWER SYSTEMS, LLC CASCADE MACH-ELECT CHAU ELECTRIC LLC CHERRY CITY ELECTRIC CLINTON & SONS ELEC IN COCHRAN ELECTRIC COLVICO INC CONTROL DYNAMICS COSCO FIRE PROTECTION D&R MONITORING NETWRKS DANARD ELECTRIC INC DATSKIY ELECTRIC, LLC DELTA ELECTRIC MOTOR DUNSTON BRADLEY INDUST DUTTON ELECTRIC CO INC E SQUARED SYSTEMS,LLC EAGLE PIPE &MECHANICAL EDLEN ELECTRICAL ELCON CORPORATION ELECTRIC CONST CO OF ELECTRIC SYSTEMS LLC ELECTRIC WEST INC ELECTRICAL CONST CO ELECTRICAL SERVICE INC ELECTRICAL SUPPORT CO ELECTRICAL SYSTEMS ELECTROCOM S&C SYSTEMS ELM SOLUTIONS CORP., EPIC ELECTRIC INC. EVERGREEN POWER EVERGREEN TECHNOLOGIES EWING ELECTRIC INC E-Z INTERFACE FIRESHIELD, INC FOX ELECTRIC CO. FOY INDUST ELECTR CORP FULLER ELECTRIC INC GENESEE FUEL & HEATING GES EXPOSITION SERVICE H&M ELECTRIC INC HAMPTON ELECTRIC INC HANCO ELECTRIC, LLC HHS GOVERNMENT, LLC HMT ELECTRIC NORTH INC HOLADAY-PARKS, INC HOLMES ELECTRIC CO INTEGRATED TECH GROUP INTEGRITY NETWORKS ION ELECTRIC, LLC JACOBS TECHNOLOGY INC JH KELLY LLC JM CORP & SON, INC. JOHNSON ELECTRIC CO JUSTICE SYSTEMS KIEWIT INFRA WEST KIEWIT-HOFFMAN/AJV KING CTY HOUSING AUTH KOLKAY ELECTRIC INC LAIBE ELECTRIC CO LAKE UNION DRYDOCK CO LAKES ELECTRIC INC LIBERTY ELECTRIC, LLC LINDER ELECTRIC LOCAL UNION 46 IBEW LONG BUILDING LUNSTRUM ELECTRIC INC MACDONALD MILLER MADSEN ELECTRIC MAIN STREET ELECT INC MASS ELECTRIC CO MASTER ELECTRIC CO MATERNITY WAIVER PL1 MB ELECTRIC MCCOY ELECTRIC CO,INC MCKINSTRY CO. LLC MD MARINE ELECT, LTD. MEYER SIGN MILL PLAIN ELECTRIC MILNE ELECTRIC INC MUZAK LLC NELSON ELECTRIC, INC. NETCOM, INC. NORTH SHORE ELECT INC NORTHWEST EDISON NOVA ELECTRIC, LLC NW SIGNAL MAINTENANCE NW UTILITY SVCS., LLC OEG, INC. OLYMPIC ELEC CO., INC. OZZ ELECTRIC WA INC PACIFIC COAST ELECTRIC PACIFIC COMM CABLING PACIFIC FISHERMEN PACIFIC SHIP REPAIR PERIMETER SECURITY GRO PORT OF SEATTLE POWERCOM INC PRECISION ELECT GROUP PRIME ELECTRIC INC PSW ELECTRIC 1 PUGET SOUND APPRENTICE PUGET SOUND CHAPTER PURE POWER LLC RUI REFRIGERATION SABER TECHNOLOGIES LLC SAFARI ELECTRIC LLC SARE ELECTRIC INC SCANR, LLC SCHMIDT FAMILY ELECT SCHMITT ELECTRIC INC SCHNEIDER ELECTRIC INC SCOTT'S ELECTRIC SERV SEACOM CABLING INC SEAHURST ELECTRIC SEATTLE CONVENTION CTR SEATTLE HOUSING AUTHOR SEATTLE TIMES SEATTLE UNIVERSITY SEQUOYAH ELECTRIC LLC SERVICE ELECT CO INC SERVICEMARK TENANT SHAMP ELECT CONTR INC SHIMMICK CONSTR CO INC SHJ ELECTRIC CO, INC SHORELINE CONCRETE SHORELINE SCHOOL DIST SKYLINE COMMUNICATIONS SKYLINE ELECTRIC MFG SOLECTRIC LLC SOUND ENERGY SYSTEMS SOUND OIL CO INC SOURCE ELECTRIC LLC SOUTH SOUND ELECT INC SPHERE SOLAR ENERGY STATIC ENERGY, INC STAUDT ELECTRIC STETNER ELECTRIC STONER ELECTRIC INC STURGEON ELECTRIC CO. SUNDANCER ELECTRIC INC SUNNY ELECTRIC & SYNERGY ELECTRICAL TAPPS ELECTRIC, LLC TEKNON GOV'T SERVICES TESLA ELECTRIC, LLC THE FIBER GUYS LLC THE JUICE COMPANY THOMPSON ELECTR CONST TITAN EARTHWORK LLC TITAN ELECTRIC INC TKK LLC TOTEM ELECTRIC OF TRANSCON COMPANY, LLC TRANSPORTATION SYSTEMS TRAVERS ELECTRIC INC TRIBAL ELECTRIC, LLC TUBE ART DISPLAYS INC UNION SQUARE TENANT UNITED STATES ELECTRIC VALLEY ELECTRIC CO VECA ELECTRIC & TECH VIEWLANDS ELECTRIC VIGOR SHIPYARDS VITAL MECHANICAL, INC VP ELECTRICAL SERVICES WELLS GLOBAL WEST WESTCOAST INDUSTRIAL ZION ELECTRIC LLC