2024-11-08T13:10:38-06:00 2023-12-31 472517893 BEERS HAMERMAN COHEN & BURGER PC 234 CHURCH STREET NEW HAVEN CT 06510 990 2023-01-01 060878220 UNITED UNION OF ROOFERS WATERPROOFERS & ALLIED WORKERS LOCAL # 12 HEALTH FUND UNIT 8004468646 8 FAIRFIELD BVLD STE 105 WALLINGFORD CT 06492 HAROLD F DAVIDSON JR TRUSTEE 2032697741 2024-11-05 1 0 PETER GRAEB P00013424 2037876527 2024-11-05 2023 2024-10-15 13:58:12Z KEVIN GUERTIN 15 BERNHARD ROAD NORTH HAVEN CT 06473 4539743 0 X N/A X EMPLOYEE BENEFIT PLAN 1978 CT PROVIDES MEDICAL, DENTAL, DRUG, AND DISABILITY BENEFITS FOR MEMBERS. 6 6 3 0 0 0 0 0 3360137 4137379 190970 57293 0 0 3551107 4194672 0 0 2264078 2841835 0 0 0 0 0 868887 950434 3132965 3792269 418142 402403 3096622 3757367 168688 291443 2927934 3465924 X EMPLOYERS CONTRIBUTE TO THE LOCAL UNION 12 HEALTH FUND SO THAT THE FUND CAN PROVIDE FOR HOSPITALIZATION, LIFE INSURANCE, DISABILITY INSURANCE, SURGERY, DENTAL AND OTHER MEDICAL EXPENSES FOR THE EMPLOYEES OF THE CONTRIBUTING EMPLOYERS. 0 0 2733845 MEDICAL CLAIMS 464288 PRESCRIPTION BENEFITS 114108 SUPPLEMENTAL MEDICAL BENEFITS 57309 OTHER MEDICAL RELATED EXPENSES AND ADMINISTRATION EXPENSES 57309 3369550 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 3 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 8004468646 8 FAIRFIELD BVLD STE 105 WALLINGFORD CT 06492 X CLAIRE WEBSTER TRUSTEE 1.00 X 0 0 0 KENNETH MACDONALD TRUSTEE 1.00 X 0 0 0 WARREN WALLER TRUSTEE 1.00 X 0 0 0 KEVIN GUERTIN TRUSTEE 1.00 X 0 0 0 JOHN LUCCHESI JR TRUSTEE 1.00 X 0 0 0 KIM MARSHALL TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 MEMBERSHIP CONTRIBUTIO 525100 4137379 4137379 4137379 52364 52364 350000 345071 4929 4929 4929 4194672 4142308 0 52364 2841835 15464 35452 8574 8769 1507 67009 STOP LOSS INSURANCE 501399 CLAIMS FEE, MEDICAL REV 143491 NETWORK COSTS 75490 CONTRACT ADMINISTRATOR 63848 29431 3792269 1137177 1522323 344050 434141 7791 6600 1607604 1794303 3096622 3757367 168688 291443 168688 291443 X 0 0 0 0 2927934 3465924 2927934 3465924 3096622 3757367 402403 135587 0 X 0 1 X 1 0 0 4321685 135587 135587 4186098 8574 8574 4194672 3655138 0 3655138 8574 128557 137131 3792269 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFITS INCURRED NOT PAID FORM 990, PART VI, SECTION A, LINE 6 ACTIVE MEMBERS OF THE ROOFERS LOCAL 12 WHO PARTICIPATE IN THE HEALTH FUND. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS CAN VOTE ON TRUSTEES AT REGULARLY SCHEDULED ELECTIONS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PRESENTED TO THE GOVERNING BODY AT A BOARD MEETING BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY DONE BY THIRD PARTY ADMINISTRATOR FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES FINANCIAL STATEMENTS AND TAX RETURNS AVAILABLE UPON REQUEST.