2024-11-15T16:35:45+00:00 2023-12-31 135565207 KPMG LLP 345 Park Avenue New York NY 101540102 990 2023-01-01 131628401 1199SEIU NATIONAL BENEFIT FUND FOR HEALTH AND HUMAN SERVICE EMPLOYEES 1199 6464736336 PO BOX 842 NEW YORK NY 10108 MERCEDES MAMBRU CHIEF FINANCIAL OFFICER 6464736336 2024-11-15 true Toby Kerslake P01875806 2127589700 2024-11-15 2023 2024-10-15 13:58:12Z Donna Rey PO BOX 842 NEW YORK NY 10108 2278806266 false X HTTP://1199SEIUBENEFITS.ORG X 1949 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS AND THEIR ELIGIBLE DEPENDENTS. 32 32 1202 36 0 0 0 0 2063306433 2182620550 2646697 10545479 735517 147123 2066688647 2193313152 0 0 1934495968 1948405654 71151304 79905470 0 0 0 44367635 48586837 2050014907 2076897961 16673740 116415191 1175258857 1363364432 1012862812 1088009420 162396045 275355012 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. false false 0 0 0 THOUGH THE FUND DOES NOT UNDERTAKE PROGRAM SERVICES AND DOES NOT REPORT ANY EXPENSES ON FORM 990, PART IX, COL (B), THE FUND PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS UNDER THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENT AND TRUST DOCUMENT. IN 2023 156,501 MEMBERS/PARTICIPANTS RECEIVED HEALTH AND WELFARE BENEFITS. 0 false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true X 19427 0 true 1202 true false false false false false false true false X 32 32 true false false false false true false true true false false false true true true true true true true false X MERCEDES MAMBRU 6464736336 PO BOX 842 NEW YORK NY 10108 Andrea Thomas-Randall Employer Trustee 1.0 0.0 X 0 0 0 Austin Bender Employer Trustee 1.0 3.0 X 0 0 0 Barbara Logan Employer Trustee 1.0 4.0 X 0 0 0 Christene Nation-Jumpp Employer Trustee 1.0 3.0 X 0 0 0 Dan Ratner Union Trustee 1.0 4.0 X 0 0 0 David Brodsky Employer Trustee 1.0 4.0 X 0 0 0 George Gresham Union Trustee 1.0 6.0 X 0 0 0 Guy Mennonna Employer Trustee 1.0 3.0 X 0 0 0 Helen Schaub Union Trustee 1.0 0.0 X 0 0 0 Ilene Arroyo Employer Trustee (BEG. 7/23) 1.0 1.0 X 0 0 0 Jacqueline Alleyne Union Trustee 1.0 2.0 X 0 0 0 Jason Limson Employer Trustee 1.0 3.0 X 0 0 0 Jeffery Cohen Employer Trustee 1.0 7.0 X 0 0 0 Joyce Neil Union Trustee 1.0 6.0 X 0 0 0 Keith Wolf Employer Trustee 1.0 0.0 X 0 0 0 Lisa Brown Union Trustee 1.0 2.0 X 0 0 0 Marc Kramer Employer Trustee 1.0 7.0 X 0 0 0 Marc Leff Employer Trustee 1.0 5.0 X 0 0 0 Maria Castaneda Union Trustee (End 12/23) 1.0 8.0 X 0 0 0 Mary DiGangi Employer Trustee (End 11/23) 1.0 2.0 X 0 0 0 Michael Ashby Union Trustee 1.0 1.0 X 0 0 0 Michael N Rosenblut Employer Trustee 1.0 1.0 X 0 0 0 Milly Silva Union Trustee 1.0 2.0 X 0 0 0 Nadine Ferguson Employer Trustee 1.0 2.0 X 0 0 0 Nadine Williamson Union Trustee 1.0 1.0 X 0 0 0 Neal Schelberg Employer Trustee 1.0 1.0 X 0 0 0 Nora Donoher Employer Trustee 1.0 1.0 X 0 0 0 Robert Oliver Jr Employer Trustee 1.0 5.0 X 0 0 0 Roger Cumberbatch Union Trustee 1.0 3.0 X 0 0 0 Stacie Williams Employer Trustee 1.0 2.0 X 0 0 0 Stephern Allison Employer Trustee (End 11/23) 1.0 4.0 X 0 0 0 Tanya Isaacs Employer Trustee (END 7/23) 1.0 3.0 X 0 0 0 Tracey Harrison Union Trustee 1.0 3.0 X 0 0 0 Veronica Turner Union Trustee 1.0 5.0 X 0 0 0 Victor Rivera Union Trustee 1.0 0.0 X 0 0 0 Yvonne Armstrong Union Trustee 1.0 4.0 X 0 0 0 Donna Rey Executive Officer 14.2 14.4 X 334182 338287 380972 Lorraine Monchak Chief Investments Officer 14.2 14.4 X 477757 483626 571863 Mercedes Mambru Chief Financial Officer 11.2 18.0 X 120978 194547 200468 Van H Dunn Chief Medical Officer 14.2 14.4 X 242799 245782 281465 Angela L Scott Chief Benefits Officer 14.2 14.4 X 195121 197518 223624 Brandy D Shiloh Chief Administrative Officer 14.2 14.4 X 315362 319236 354846 Charles Ottomanelli Chief Information Officer 11.2 18.0 X 113185 182015 152369 Stacey Millman Chief Communications Officer 14.2 14.4 X 222248 224979 247665 Suzanne A Metzger Chief General Counsel 14.2 14.4 X 155534 157445 195171 2177166 2343435 2608443 39 false true false MEDCO HEALTH SOLUTIONS INC 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07047 CLAIMS PROCESSING 5561451 INTERNATIONAL BUSINESS MACHINES CORPORATION New Orchard Road Armonk New York NY 105041722 OTHER FEES 2999176 EVERNORTH BEHAVIORAL HEALTH INC PO BOX 1450 MINNEAPOLIS MN 55485 CLAIMS PROCESSING 2968313 SHI-INTERNATIONAL CORP 290 Davidson Ave Somerset NJ 08873 OTHER SERVICES 1979343 Segal Select Insurance Services Inc 1 Park Ave New York NY 10016 OTHER SERVICES 1764669 99 0 EMPLOYER PLAN CONTRIBUTIONS 900099 2164541541 2164541541 ENHANCED TRAINING INITIATIVE 900099 15027867 15027867 COBRA CONTRIBUTIONS 900099 3051142 3051142 0 0 0 0 2182620550 9707367 9707367 0 0 86331226 85493114 0 838112 838112 838112 EMPLOYER INTEREST 900099 132231 132231 EMPLOYER LEGAL COST 900099 7480 7480 COLLECTION COSTS - ACH 900099 7412 7412 0 0 0 0 147123 2193313152 2182620550 0 10692602 1948405654 2029725 49144328 5677773 19472607 3581037 1206916 442119 25529 2431300 4389229 4605658 3518841 471246 5787700 1059650 STRAIGHT-LINE LEASE 14132151 PRESCRIPTION ADMIN CHARGES 5600066 MANAGED CARE - PRECERTIFICATION 3201202 MVP ADMIN CHARGES 1489673 225557 2076897961 84808892 264201969 62097022 546241 222582077 282296626 0 0 0 0 447777 447777 12379640 12741468 128643804 112670890 16500513 15972914 30862540 32606915 0 745580396 754550522 1175258857 1363364432 26393941 33719470 0 0 986468871 1054289950 1012862812 1088009420 X 162396045 275355012 162396045 275355012 1175258857 1363364432 X 116415191 134253 -3590477 X false true X true false 118496 46436 72060 128439978 112624454 15815524 85330 85330 15972914 Other assets LEASE INCENTIVE RECEIVABLE 8914209 3BF, NET 63979129 DUE FROM PHARMACY BENEFIT MANAGER AND OTHERS 126309723 ACCRUED INVESTMENT INCOME 86860 DUES FROM RELATED ENTITIES 12776074 OPERATING RIGHT OF USE ASSET 542432027 RENT DEPOSIT 52500 754550522 Other liabilities BENEFIT OBLIGATIONS 309054520 DUE TO BROKERS 1198989 OPERATING LEASE LIABILITY 623099519 DUE TO EMPLOYER 25919792 DUE TO RELATED ENTITIES 87622929 DEFERRED CONTRIBUTIONS 7394201 1054289950 X 2193421876 134253 0 134253 2193287623 25529 0 25529 2193313152 2076872432 0 0 2076872432 25529 0 25529 2076897961 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote U.S. GAAP REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF LIABILITY (OR ASSET) OR DISCLOSURE IN FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO FEDERAL INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. X X X false true false Donna Rey Executive Officer 289683 293241 0 0 44499 45046 113729 33136 116339 117768 564250 489191 26184 26506 Lorraine Monchak Chief Investments Officer 419029 424177 0 0 58728 59449 182694 47932 169577 171660 830028 703218 41075 41580 Van H Dunn Chief Medical Officer 209391 211964 0 0 33408 33818 81195 23952 87621 88697 411615 358431 22216 22488 Mercedes Mambru Chief Financial Officer 117020 188182 0 0 3958 6365 55376 21264 47478 76350 223832 292161 0 0 Brandy D Shiloh Chief Administrative Officer 284626 288123 0 0 30736 31113 94119 32558 113388 114781 522869 466575 19674 19915 Stacey Millman Chief Communications Officer 190354 192693 0 0 31894 32286 73974 21774 75495 76422 371717 323175 15944 16140 Angela L Scott Chief Benefits Officer 170019 172108 0 0 25102 25410 65801 19448 68765 69610 329687 286576 0 0 Suzanne A Metzger Chief General Counsel 149048 150880 0 0 6486 6565 58950 17049 59222 59950 273706 234444 0 0 Charles Ottomanelli Chief Information Officer 113185 182015 0 0 0 0 12790 20568 45631 73380 171606 275963 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ALL OFFICERS AND KEY EMPLOYEES ARE PAID BY THE 1199SEIU NATIONAL FUND FOR HEALTH AND HUMAN SERVICE EMPLOYEES (NBF) FOR THEIR SERVICES PERFORMED FOR ALL 1199SEIU FUNDS. THEIR SALARY IS THEN ALLOCATED TO EACH FUND BASED ON AN ALLOCATION STUDY AND IS REPORTED AS IF PAID BY THE FILING ORGANIZATION. THE AMOUNT REPORTED ON SCHEDULE J, PART II, LINE (I) REPRESENTS THE AMOUNT ALLOCATED TO 1199SEIU NATIONAL FUND FOR HEALTH AND HUMAN SERVICE EMPLOYEES(NBF) AND THE AMOUNTS REPORTED ON LINE (II) REPRESENT THE TOTAL SALARY AND BENEFITS RECEIVED FOR SERVICES PROVIDED TO NBF'S RELATED ENTITIES. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED DEFERRED CONTRIBUTIONS DURING 2023: LORRAINE MONCHAK $135,344 VAN H. DUNN $57,534 DONNA REY $80,995 BRANDY D. SHILOH $61,957 STACEY MILLMAN $52,464 ANGELA SCOTT $46,589 MERCEDES MAMBRU $42,153 SUZANNE A. METZGER $42,108 THE ABOVE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COL C. SCHEDULE J, PART II, COL F REPORTS AMOUNTS DISTRIBUTED DURING THE YEAR UNDER THIS PLAN. Form 990, Part V, Line 3b UNRELATED BUSINESS INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 419A(F)(5)(A), COLLECTIVE BARGAINING AGREEMENTS ARE EXEMPT FROM ACCOUNT LIMIT REQUIREMENTS SET UNDER IRC SECTION 419A(C), AND ARE THEREFORE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX UNDER IRC SECTION 512(A)(3) ON ITS EXEMPT FUNCTION INCOME. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons ALL OF THE UNION TRUSTEES ARE ALSO EMPLOYEES OF 1199SEIU (THE UNION) AND THEREFORE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. - Business relationship Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE UNION TRUSTEES ARE APPOINTED BY 1199SEIU UNITED HEALTHCARE WORKERS EAST, AND THE EMPLOYER TRUSTEES ARE APPOINTED BY THE LEAGUE OF VOLUNTARY HOSPITALS AND HOMES OF NEW YORK. Form 990, Part VI, Line 11b Review of form 990 by governing body THE CHIEF FINANCIAL OFFICER AND FINANCE TEAM REVIEW THE DRAFT FORM 990 AND CONFER WITH THE ACCOUNTANTS AND LEGAL COUNSEL TO ENSURE THE ACCURACY OF THE RETURN. ANY CONCERNS ARE NOTED AND ADDRESSED AND MANAGEMENT ENSURES THAT THE CHANGES ARE INCORPORATED IN THE FORM 990. THE COMPLETED FORM 990 IS THEN SIGNED BY AN OFFICER BEFORE BEING SUBMITTED TO THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy TRUSTEES AND EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE OR UPDATE TO THE EXECUTIVE DIRECTOR, OR DESIGNEE, THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTERESTS. FOR EACH INTEREST DISCLOSED BY A TRUSTEE, THE EXECUTIVE DIRECTOR OR DESIGNEE WILL DETERMINE WHETHER TO (A) TAKE NO ACTION (B) ASSURE FULL DISCLOSURE TO THE TRUSTEES (C) ASK THE TRUSTEE TO BE RECUSED FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS; AND/OR (D) ASK THE TRUSTEE TO RESIGN. REGARDING EMPLOYEES, COMPLETED CONFLICTS OF INTEREST DISCLOSURE FORMS WILL BE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT AND DISCLOSED CONFLICTS WILL BE REVIEWED BY HUMAN RESOURCES MANAGEMENT. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION FOR ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE FUND IS DETERMINED BY THE CROSS FUNDS COMPENSATION COMMITTEE (THE "COMMITTEE"), COMPRISED OF INDEPENDENT MEMBERS. THE COMMITTEE UTILIZES APPROPRIATE DATA AS TO COMPARABILITY IN ITS DETERMINATIONS, INCLUDING INFORMATION PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS. THE COMMITTEE DOCUMENTS THE BASIS FOR ANY COMPENSATION DETERMINATIONS CONTEMPORANEOUSLY IN THE MINUTES OF THE COMMITTEE. THE COMMITTEE DETERMINES COMPENSATION PERIODICALLY AS IT DEEMS APPROPRIATE. Form 990, Part VI, Line 15b Process to establish compensation of other employees REFER TO NARRATIVE FOR PART VI, LINE 15A ABOVE. Form 990, Part VI, Line 19 Required documents available to the public SUMMARY PLAN DESCRIPTIONS AND FINANCIAL REPORTS ARE MADE PUBLIC PURSUANT TO IRS REQUIREMENTS. WRITTEN REQUESTS FOR OTHER INFORMATION WILL BE FORWARDED TO GENERAL COUNSEL'S OFFICE FOR CONSIDERATION. Form 990, Part VII, Section A, Line 1a EMPLOYER TRUSTEE COMPENSATION THE EMPLOYER TRUSTEES REPORTED ON PART VII MAY HAVE RECEIVED COMPENSATION FROM A RELATED TAX-EXEMPT ORGANIZATION REPORTED IN SCHEDULE R, PART II. WITH VERY LIMITED EXCEPTION, NO ONE RESPONDED TO THE REQUEST MADE FOR COMPENSATION INFORMATION. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN BENEFIT OBLIGATION - -3590477; 1199SEIU HEALTH CARE EMPL PENSION FUND 498 SEVENTH AVENUE NEW YORK NY 10018 133604862 PENSION FUND NY 501(a) NA false 1199SEIU TRAINING AND UPGRADING FUND 498 SEVENTH AVENUE NEW YORK NY 10018 132637580 EDUC TRAINING NY 501(c)(3) 10 NA false 1199SEIU JOB SECURITY FUND 498 SEVENTH AVENUE NEW YORK NY 10018 133712851 BENEFIT FUND NY 501(c)(9) NA false 1199SEIU LEAGUE RN TRAINING & JSF 498 SEVENTH AVENUE NEW YORK NY 10018 133946135 EDUC TRAINING NY 501(c)(9) NA false 1199SEIU LABOR MANAGEMENT INITIATIVES 133800331 LABOR MNGT NY 501(c)(5) NA false 1199SEIU LOCAL EMPLOYER CHILD CARE FUND 498 SEVENTH AVENUE NEW YORK NY 10018 133641466 CHILDCARE NY 501(c)(9) NA false 1199SEIU EMPLOYER CHILD CARE CORP 498 SEVENTH AVENUE NEW YORK NY 10018 134063281 DAY CARE CNTR NY 501(c)(3) 7 NA false 1199SEIU UNITED HEALTHCARE WORKERS EAST 498 SEVENTH AVENUE NEW YORK NY 10018 131510821 LABOR UNION NY 501(c)(5) NA false 1199SEIU HEALTHCARE INDUSTRY GRANT CORP 498 SEVENTH AVENUE NEW YORK NY 10018 134197609 HEALTHCARE NY 501(c)(3) 7 NA false 1199SEIU LICENSED PRACTICAL NURSE WF 498 SEVENTH AVENUE NEW YORK NY 10018 132623987 BENEFIT FUND NY 501(c)(9) NA false CENTER FOR WORKFORCE DEVELOPMENT INC 498 SEVENTH AVENUE NEW YORK NY 10018 853129842 LABOR MNGT NY 501(c)(5) NA false BronxCare NA BronxCare Special Care Center NA Shield Institute NA Rebekah Rehab & Extended Care Center NA Center Light Health System dba Beth Abraham Hospital NA Archcare - Saint Vincent De Paul NA Montefiore Medical Center NA Jack D Weiler Hospital NA Saint Barnabas Hospital NA Fordham Tremont Community NA Correctional Dental Associates PC NA PAGNY - Rikers NA New York Dialysis Managment NA BronxCare Dr Martin Luther King Jr Health Center NA PAGNY - Lincoln Hospital NA Montefiore North NA Montefiore Medical Center-School Hlth Program NA Hebrew Home-Riverdale NA Union Community Health Center NA Archcare - Terence Cardinal Cooke NA Physicians Affiliate Group of NY - Metropolitan NA Institute for Family Health NA New York Gracie Square NA Morrison Senior Living Terence Cardinal Cooke HCC NA Mount Sinai Medical Center NA New York Eye and Ear of Mount Sinai (NYEE) NA Lenox Hill Healthplex Emergency Department NA Lenox Hill Hospital NA Archcare - Mary Manning Walsh NA Northside Center For Child NA Ryan-Nena Community Health Ctr NA Lenox Hill Neighborhood House NA NYU-Hospital for Joint Diseases NA New York Presbyterian Lower Manhattan NA Public Health Solutions Sexual and Reproductive Health Centers NA Greenwich House Inc NA Cerebral Palsy Associations NA Mount Sinai Beth Israel-DOCS NA Mount Sinai Beth Israel NA New York UniversityTisch-Rusk NA New York UniversityAffiliates NA Nyu Residual And Lab Research Unit NA NYU Winthrop Hospital NA NYU Imaging-Forest Hills NA Mount Sinai Roosevelt Hospital NA VNS Health NA Elizabeth Seton Pediatric Center NA John A Coleman School NA Saint Vincent'S-Manhattan NA Comprehensive Cancer Care Cntr NA New York Methodist Hospital NA Brooklyn Hospital Center NA Maimonides Medical Center NA Providence Care Inc NA Staten Island University South NA One Brooklyn Health - 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