TY 2023 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
Blue Cross Blue Shield of Michigan 600 E Lafayette Street Detroit,MI482262998	Provider Network and Payment Processing	7,857,086
PrudentRX LLC 820 Northdale Boulevard Suite 311- Tampa,FL33624	TPA for Specialty Drugs	1,068,653
Delta Dental Plan of Michigan 124 W Allegan Street Lansing,MI48933	TPA for Dental Benefits	464,089
Morgan Stanley Global Banking Operations 40701 Woodward Avenue Suite 200 Bloomfield Hills,MI48304	Investment Advisory Fees	436,314
Willis Towers Watson US LLC 26555 Evergreen Road Suite 1600 Southfield,MI48076	Actuarial Services	355,168
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 8

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

Michigan Conference of Teamsters Welfare
Fund

Employer identification number

38-1328578

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	440,593		440,593
b	Buildings ....	4,019,880	3,820,924	198,956
c	Leasehold improvements
d	Equipment ....	1,318,475	1,171,660	146,815
e	Other .....	3,694,379	1,398,482	2,295,897
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,082,261

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) Mutual Funds	365,104,432	F
(B) Investment in Partnerships	35,445,169	F
(C) Commingled Funds	14,066,240	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	414,615,841

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Prepaid contributions - Actives	9,546,937
Prepaid Contributions - Retirees	261,404







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	9,808,341
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	422,686,633
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	53,094,786
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................			2e	53,094,786
3	Subtract line 2e from line 1..................			3	369,591,847
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	1,875,884
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	1,875,884
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	371,467,731

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	339,579,622
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	339,579,622
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	1,875,884
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................			4c	1,875,884
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	341,455,506

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part X, Line 2:	The Master Trust established to hold the Plan's assets is intended to qualify pursuant to Section 501(c)(9) of the Internal Revenue Code; accordingly, the Master Trust's net investment income is exempt from income taxes. The Master Trust has obtained a favorable tax determination letter from the Internal Revenue Service, and the Plan Sponsor believes that the Master Trust, as amended, continues to qualify and to operate in accordance with applicable provisions of the Internal Revenue Code. 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 if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination. 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 that the Plan is no longer subject to tax examinations for fiscal years prior to March 31, 2021.

Return Reference

Explanation

Part X, Line 2:

The Master Trust established to hold the Plan's assets is intended to qualify pursuant to Section 501(c)(9) of the Internal Revenue Code; accordingly, the Master Trust's net investment income is exempt from income taxes. The Master Trust has obtained a favorable tax determination letter from the Internal Revenue Service, and the Plan Sponsor believes that the Master Trust, as amended, continues to qualify and to operate in accordance with applicable provisions of the Internal Revenue Code. 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 if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination. 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 that the Plan is no longer subject to tax examinations for fiscal years prior to March 31, 2021.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
Michigan Conference of Teamsters Welfare
Fund

Employer identification number

38-1328578

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Investments in Foreign Hedge Fund	25,410,911
















3a	Sub-total ....	0	0		25,410,911
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		25,410,911

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation

Schedule F (Form 990) 2023

Additional Data

Software ID:
Software Version:

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Michigan Conference of Teamsters Welfare
Fund

Employer identification number

38-1328578

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Kyle Stallman Executive Director	(i) (ii)	360,612 ------------- 0	0 ------------- 0	0 ------------- 0	27,296 ------------- 0	36,929 ------------- 0	424,837 ------------- 0	0 ------------- 0
2William Deighton Director of IT and Service	(i) (ii)	215,749 ------------- 0	0 ------------- 0	0 ------------- 0	24,048 ------------- 0	31,602 ------------- 0	271,399 ------------- 0	0 ------------- 0
3Bryan Carney Director of Financial Services	(i) (ii)	186,913 ------------- 0	0 ------------- 0	0 ------------- 0	23,183 ------------- 0	35,881 ------------- 0	245,977 ------------- 0	0 ------------- 0
4Patricia LaVigne Sr. Director of Benefit Admin	(i) (ii)	201,189 ------------- 0	0 ------------- 0	0 ------------- 0	23,612 ------------- 0	15,599 ------------- 0	240,400 ------------- 0	0 ------------- 0
5Sandra Bowman-Claus Senior Director for Plan Operations	(i) (ii)	165,621 ------------- 0	0 ------------- 0	0 ------------- 0	22,545 ------------- 0	29,602 ------------- 0	217,768 ------------- 0	0 ------------- 0
6Vishal Sharma Computer Systems Analyst	(i) (ii)	153,644 ------------- 0	0 ------------- 0	0 ------------- 0	22,185 ------------- 0	35,648 ------------- 0	211,477 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Michigan Conference of Teamsters Welfare
Fund

Employer identification number

38-1328578

Return Reference	Explanation
Form 990, Part VI, Section A, line 7a	The Fund's governing body, the Board of Trustees, provides in the Fund's Agreement and Declaration of Trust that in the case of Employer Trustee vacancies, the remaining Employer Trustee(s), by majority vote, shall appoint successor Trustees to fill the vacancies.
Form 990, Part VI, Section B, line 11b	The Director of Financial Services and the Executive Director review and approve the Form 990 prepared by the independent auditors on behalf of the trustees.
Form 990, Part VI, Section B, line 12c	An annual disclosure questionnaire is distributed to the Board of Trustees, MCTWF employees, fund professionals and vendors to identify circumstances, relationships and transactions that may give rise to a conflict of interest. The questionnaires are reviewed by the human resources director, executive director and legal counsel. If conflicts are identified, measures are taken by the Executive Director to make sure that these trustees or employees would be removed from any decision making.
Form 990, Part VI, Section B, line 15	An independent compensation consultant was used in establishing the Executive Director's compensation. There is a written employment contract that is reviewed and approved by the Board of Trustees. An annual merit pool is reviewed and approved by the Board of Trustees for other salaried employees based on a recommendation by the Executive Director that is approved by the Board of Trustees. Individual merit increases based on performance appraisals and market adjustments are determined by the Executive Director.
Form 990, Part VI, Section C, line 19	The trust agreement is available on MCTWF's website. The audited annual financial statements as part of the Form 5500 is available upon request and electronically available on the United States Department of Labor website. The information is made available for the same period of disclosure as set forth in IRC Section 6104(D).
Form 990, Part VII, Section A	The compensation for employees of organizations which are considered related due to the contributing employer relationship was not available at the time of filing and is available upon request.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

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Software Version:

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Michigan Conference of Teamsters Welfare
Fund

Employer identification number

38-1328578

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Airport Community Schools
(2)Albion College
(3)Alcona County Road Commission
(4)Amanda Clearcreek Schools
(5)American Postal Workers Union
(6)Arenac County Road Commission
(7)Ashtabula Metropolitan Housing Authority
(8)Baraga Area Schools
(9)Bay Metropolitan Transportation Authority
(10)Benton Harbor-St Joseph Joint Wastewater Treatment Plant
(11)Berrien Mental Health Authority
(12)Board of Country Road Commissions of Iron County
(13)Bunzl Midcentral Inc
(14)Butler Township
(15)Cass County Road Commission
(16)City Of Bad Axe
(17)City Of Clare
(18)City Of Escanaba
(19)City Of Evart
(20)City Of Gladstone
(21)City Of Hancock
(22)City of Jackson OH
(23)City Of Manistique
(24)City Of Marietta
(25)City Of Menominee
(26)City of Muskegon Heights
(27)City of Pinconning
(28)City Of Romulus
(29)City Of Standish
(30)City Of Three Rivers
(31)City of Wellston
(32)City of Woodbine
(33)Clark County
(34)Clerical - Technical Union Of Michigan State University
(35)County of Ogemaw
(36)County of Saginaw
(37)Crawford County Road Commission
(38)Delta Area Transit Authority
(39)Delta County
(40)Delta County 911 Authority
(41)Delta County Road Commission
(42)Detroit Police Benefit and Protective Association
(43)Detroit Teamsters Temple Association
(44)Franklin Township Portage County
(45)General Teamsters Local Union No 406
(46)Gladstone Area Schools
(47)Gwinn Area Community Schools
(48)Houghton County Road Commission
(49)Houghton Lake Community Schools
(50)Huron County Road Commission
(51)LaPorte County Comprehensive Mental Health Council Inc
(52)Lawrence County Sheriff's Office
(53)Logan Elm Local School District
(54)Manistee County Road Commission
(55)Mason County Road Commission
(56)MBS International Airport Commission
(57)Melvindale - Northern Allen Park Public Schools
(58)Menominee County
(59)Menominee County Road Commission
(60)Michigan Teamsters Joint Council No 43
(61)Motor City Electric Co
(62)Nebraska Center for Workforce Dev
(63)Northmont City School District
(64)Ogemaw County - EMS
(65)Ogemaw County Emergency Dispatch Authority
(66)Orion Township
(67)Pioneer Resources Inc
(68)Region II Commission on Services to the Aging
(69)Roscommon County Road Commission
(70)Saunders County Nebraska
(71)Schoolcraft County Road Commission
(72)Scioto County Sanitary Engineering Department
(73)SOCRRA
(74)Southwest Licking Local School District
(75)Springfield Metropolitan Housing Authority
(76)St John Providence Health System Brighton
(77)Teamsters Credit Union
(78)Teamsters Local 337
(79)Teamsters Local Union #1038
(80)Teamsters Local Union #214
(81)Teamsters Local Union #247
(82)Teamsters Local Union #299
(83)Teamsters Local Union #614
(84)Teamsters Local Union 284
(85)Teamsters Local Union No 243
(86)Teamsters Local Union No 283
(87)The Medical Center Company
(88)Van Buren Community Mental Health Authority
(89)Village Of Baraga
(90)Village Of Fowlerville
(91)Washington County Engineer
(92)Washington County Sheriff's Office
(93)Webberville Community Schools
(94)West Iron County Sewer Authority

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) Advantage Trucking LLC
(2) Aurora Wholesalers LLC
(3) Bayview Electric Co LLC
(4) Boones Express LLC
(5) BWB LLC dba Superior on Site
(6) City Brewing Company LLC
(7) Continental Cafe LLC
(8) Equipment Transfer LLC
(9) Factory Steel & Metal Supply Co
(10) Heartland Steel Products LLC
(11) Integrated Supply Chain Solutions LLC
(12) Marathon Petroleum Company LP
(13) Midway Group LLC
(14) Midwest Memorial Group LLC
(15) Northville Downs
(16) Ohio Eagle Distributing LLC
(17) OTIS Minnesota Services LLC
(18) Prairie Lakeside LLC
(19) Pros Services Inc
(20) RAM Produce Distributors LLC
(21) Sherwood Food Distributors
(22) Smith Distributing Co
(23) Superior Materials LLC
(24) Superior Materials LLC (Kurtz Gravel)
(25) Toebe Construction LLC

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) A Lindberg & Sons Inc
(2) ABF Freight System Inc
(3) Abrash Enterprises Inc
(4) Adamo Demolition Company
(5) Affiliated Foods Midwest Cooperative Inc
(6) Air Express International Inc
(7) Airgas Great Lakes Inc
(8) Airgas USA LLC
(9) Ajax Materials Corp
(10) Ajax Paving Industries Inc
(11) Akzo Nobel Coatings Inc
(12) Alexander Chemical Corporation
(13) Alfonsi Railroad Construction Company Inc
(14) All Star Vending Inc
(15) Allied Building Products Corp
(16) Allied Power LLC
(17) Allied Waste Services of North Amer
(18) Allied Waste Systems Inc
(19) Alpha Baking Co Inc
(20) American Bottling Company
(21) Anderson Concrete Corp
(22) Angelo Iafrate Construction Co
(23) Anna Trucking LLC
(24) APAC Paper & Packaging Corporation
(25) Applied Industrial Technologies Inc
(26) Aramark Refreshment Services LLC
(27) Aramark Services Inc
(28) Aramark Uniform Services - Wixom
(29) Aristeo Construction
(30) Atlantic Plant Maintenance Inc
(31) Atmosphere Heat Treating Inc
(32) AVI Foodsystems Inc
(33) Bacco Construction Company
(34) Bakers Gas & Welding Supplies Inc
(35) Bay Auto & Truck Parts Inc
(36) Bay Dust Control Div of Liquid Calcium Chloride Sales Inc
(37) Ben B Schwartz and Sons Inc
(38) Best Asphalt Inc
(39) Best Block Co
(40) BHI Energy Specialty Services
(41) Bichler Gravel & Concrete
(42) Bierlein Field Services Inc
(43) Big Indie Holland Inc
(44) Bimbo Bakeries USA Inc
(45) Bluelinx Corporation
(46) Boomer Co
(47) Boone & Darr Inc
(48) Brencal Contractors Inc
(49) Browning-Ferris Industries of Ohio Inc
(50) Bull Moose Tube Company
(51) Bumler Mechanical Inc
(52) C J Link Lumber Company
(53) C W Marsh Company
(54) CA Hull Co Inc
(55) CF Long & Sons Inc
(56) CL Rieckhoff Co Inc
(57) Carco Inc
(58) Carlesimo Products
(59) Carmeuse Lime Inc
(60) CBRE Inc
(61) Central Detroit Warehouse
(62) Central Michigan Paper Co
(63) Central Warehouse Operations Inc
(64) Century Cement Co Inc
(65) Chas Seligman Dist Co Inc
(66) Cintas Corporation 721
(67) Cintas Corporation No 2
(68) Cleveland Switching Services Inc
(69) Co Freight Inc
(70) Co Pipe Products Inc
(71) Columbia Pipe & Supply Co
(72) Columbian Distribution Services Inc
(73) Commerce Distribution Center
(74) Compass Group USA INC
(75) Conagra Foods Packaged Food Holdings Inc
(76) Conagra Foods Packaged Food Holdings Inc - Option 2
(77) ConGlobal Industries LLC dba ITS ConGlobal
(78) Convention & Show Services Inc
(79) Copper Country Ford LincolnMercury Inc
(80) Crandell Bros Trucking Co
(81) Dairy Farmers Of America Inc
(82) Dan's Excavating Inc
(83) DanzasA E I
(84) Darling International Inc
(85) Data Monitor Systems Inc
(86) Dayton Heidelberg Distributing Co
(87) De Maria Building Company Inc
(88) Dearborn Moving & Storage Inc
(89) Delta Sanitation Inc
(90) Detroit Produce Terminal Inc
(91) Detroit Regional Distribution Center Inc
(92) DHL Express (USA) Inc
(93) Doan Construction Co Inc
(94) Dobson Industrial Inc
(95) Dominic Gaglio Construction Inc
(96) Dr Pepper Snapple Group American Bottling Co
(97) Dunigan Brothers Inc
(98) Earle M Jorgensen Co
(99) Eaton Rapids Medical Center
(100) Edward R White Contractor Inc
(101) Elite Leasing Inc
(102) Elite Parking Services of America Inc
(103) Emulsicoat Inc
(104) EQ Detroit Inc
(105) Erickson Trucking Service Inc
(106) ESCO Group Inc
(107) Evan's Adhesive Corporation LTD
(108) Everfresh Beverages Inc
(109) FG Cheney Limestone Co Inc
(110) Facility Services Management
(111) Farmer & Underwood Trucking
(112) Farmer Bros Co
(113) Faygo Beverages Inc
(114) Fendt Builder's Supply Inc
(115) Ferguson Block Co Inc
(116) Ferguson Enterprises Inc hired after 62012
(117) Ferguson Enterprises Inc hired before 62012
(118) Ferrous Processing and Trading Co
(119) Fiber Tech Industries Inc
(120) Fire - Rite Inc
(121) Flex Underground & Hydro Excavation
(122) Flint Welding Supply Co
(123) Florence Cement Company
(124) Floyd's Rigging & Machinery Movers Inc
(125) Flynn Paving Co
(126) Forterra Pipe & Precast
(127) FPS Holdings Inc
(128) FPT Pontiac LLC
(129) Frisbie Moving & Storage Co
(130) G & J Pepsi-Cola Bottlers Inc
(131) G & L Corporation
(132) G V Cement Contracting Co
(133) G W Berkheimer Co Inc
(134) General Hardwood Company
(135) General Linen Supply
(136) Geo F Alger Company
(137) GFL Environmental Inc
(138) Gilbert Exposition Management Services
(139) GLE an SPX Company
(140) Gorski Bulk Transport Inc
(141) Grand Blanc Cement Products Inc
(142) Grand Rapids Gravel Company
(143) Graybar Electric Company Inc
(144) Great Lakes Export Co
(145) Gundlach Champion Inc
(146) Hall Engineering Company
(147) Hancock Bottling Co Inc
(148) Hare Freight Services Inc
(149) Heding Truck Service Inc
(150) Holly Construction Company
(151) Hope's Hauling Inc
(152) Hotflame Gas Inc
(153) Hoyt Brumm & Link Inc
(154) HP Products Corp
(155) Huth Ready Mix & Supply Co Inc
(156) HW Star Holding Corp
(157) Imlach Movers Inc
(158) Industrial Transmission Equipment Inc
(159) Ineos Pigments USA Inc
(160) Intercon Construction Inc
(161) J W Cole & Son's Inc
(162) Jay Cobb Corp
(163) JJ Barney Construction Inc
(164) John D Osborne Trucking Inc
(165) John E Green Company
(166) John P O'Sullivan Distributing Inc
(167) Joshen Michigan
(168) Kansas Holistic Defenders Inc
(169) Kehe Distributors Inc
(170) Keller Transfer Line Inc
(171) Kinnie Driver Services Inc
(172) Kuhlman Corporation
(173) LJ Beal & Son Inc
(174) LALA US Inc
(175) Laramie Inc
(176) Leach Trucking Co Inc
(177) Leprino Foods Company
(178) Lewis Brothers Bakeries Inc
(179) Libra Industries Inc of Michigan
(180) Linde Gas & Equipment Marysville MI
(181) Lou's Transport Inc
(182) M C Gutherie Lumber Co
(183) Madison Crushing & Excavating Co
(184) Madison Sand and Gravel Company Inc
(185) Magra Inc
(186) Marathon Flint Oil Co
(187) Martin Transportation Systems Inc
(188) Mc Nally - Nimergood Co
(189) Merchants Forwarding Co
(190) Mervenne Beverage Inc
(191) Messina Concrete Inc
(192) Messina Trucking Inc
(193) Metropolitan Baking Co
(194) Metropolitan Detroit Area Hospital Services Inc
(195) Michigan Chandelier Company
(196) Michigan Lumber Company
(197) Mid-American Gunite Inc
(198) Midwest Terminals of Toledo International Inc
(199) Milbocker & Sons Inc
(200) Milford Redi - Mix Co
(201) Miller Truck & Storage Company
(202) Minority Auto Handling Specialists Inc
(203) Mission Point Healthcare Services
(204) Model Coverall Service Inc
(205) Monarch Welding & Engineering Inc
(206) Mondelez Global LLC
(207) Musson Bros Inc
(208) Nagle Paving Company
(209) National Block Company
(210) National Frozen Foods Corporation
(211) Natural Aggregates Corporation
(212) NDSM Holdings LLC
(213) Netflix Productions LLC
(214) North American Dismantling Corporation
(215) Northern Air Cargo Inc
(216) Northern Clearing Inc
(217) NWS Michigan Inc
(218) Nyloncraft Inc - Techniplas LLC
(219) ORBIS Corporation
(220) Osborne Concrete Co
(221) Overhead Conveyor Company
(222) PCC Trucking LLC
(223) PCI Energy Services LLC
(224) Peoples Cartage Inc
(225) Pepsi Beverages Company
(226) Pepsi Beverages Company Bottling Gr
(227) Pepsi Cola Bottling Co of Houghton Inc
(228) Perfection Associates LLC
(229) Pete Tooley Corporation
(230) PGW Auto Glass LLC
(231) Pine Tree Acres Inc
(232) Piper Trucking Inc
(233) Pneumatic Trucking Inc
(234) Power Process Piping Inc
(235) Prairie Farms Dairy Inc
(236) Prairie Farms Dairy Inc ESJD
(237) Praxair Distribution Inc
(238) Precoat Metals
(239) Pretzels Inc
(240) Priority Yard and Train LLC
(241) Program Transportation Inc
(242) Progressive Distribution Centers Inc
(243) Protocon RM
(244) Pyramid Paving & Contracting Co
(245) Quickway Services Inc
(246) QW Holding Corporation
(247) R & R Ready Mix Inc
(248) RG Eisenhardt Contracting Inc
(249) RL Coolsaet Construction Co
(250) RCS Transportation LLC
(251) Red D Mix Investments LLC
(252) Republic Services of Ohio Hauling LLC
(253) Rieth - Riley Construction Co Inc
(254) Riggio Distribution Co
(255) Rocky Produce Inc
(256) Royal Banana Company Inc
(257) RPF Oil Company
(258) RTI Transport Inc
(259) R-Value Foam Insulation LLC
(260) Ryan Transportation Inc
(261) Ryder Integrated Logistics Inc
(262) Sabiston Builders Supply Inc
(263) Savage Refinery Services LLC
(264) Scaffolding Incorporated
(265) Schreiber Corporation
(266) Serra Bros Inc
(267) Service Steel Div of Van Pelt Corp
(268) SFI Acquisition Inc
(269) Shaw Electric Company
(270) Sheedy Paving Inc
(271) Shepard Exposition Services
(272) Site Supply Inc
(273) Snelson Companies Inc
(274) Source Providers Inc
(275) South East Area Transit
(276) SP Plus Corporation
(277) SP Birmingham - National Garages
(278) Spartan Stores Inc
(279) SpartanNash Associates LLC
(280) Specialty Foods Distribution Co LLC
(281) Spirit Services Company
(282) Spriggs Distributing Co LLC - Central Division
(283) SRM Paragon LLC
(284) Staab Battery Mfg Inc
(285) Stampings of Minnesota
(286) Starz Family Productions
(287) Steel City Tire Inc
(288) Sun Chemical Corporation
(289) Sun Prairie Concrete Inc
(290) Superior Plus Energy Services Inc
(291) Sutphen Corporation
(292) SVS Vision Holding Company
(293) Sysco Atlanta LLC
(294) T & M Asphalt Paving Inc
(295) T Marzetti Company
(296) Terminal Steel & Equipment
(297) The Columbus Distributing Company
(298) The Ohio Desk Company
(299) The Watkins Printing Company
(300) Theut Products Inc
(301) Thyssen Krupp Materials NS Inc
(302) Toledo Caisson Corporation
(303) Traditional Logistics & Cartage LLC
(304) Transervice Logistics Inc
(305) Tri-City Aggregates Inc
(306) Tri-County Refuse - dba Republic Serv
(307) Triple R Trucking Inc
(308) U S F Holland Inc
(309) US Silica Company
(310) Union Payroll Agency Inc
(311) United Paint & Chemical Corporation
(312) United Piping Incorporated
(313) Univar U S A Inc
(314) Upper Peninsula Concrete Pipe Co Inc
(315) US Foods Inc
(316) US Foods Inc - Kalkaska-Saginaw
(317) Van Dyke Gas Co
(318) Van Horn Concrete
(319) Variety Food Services Inc
(320) Ventcon Inc
(321) Veritiv Operating Company
(322) Verndale Products Inc
(323) Walbridge Equipment Installation LLC
(324) Waste Management Of Michigan - Eagle Valley Woodland Meadows
(325) Waste Management Of Pontiac - City Waste
(326) Wayne Pipe & Supply
(327) Wick's Pies Inc
(328) Willbee Concrete Vaults LLC
(329) Willbee Transit Mix Co Inc
(330) Wirt Transport Company Inc
(331) Wolverine Packing Co
(332) Wolverine Trucking Inc
(333) YRC Freight

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To provide medical, prescription drugs, dental, vision, behavioral health, disability and death benefits for eligible participants and their dependents.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	5
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	98
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	329,098,737	353,154,599
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,790,507	18,204,235
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	88,504	108,897
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	330,977,748	371,467,731
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	306,582,993	314,520,707
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	11,622,549	12,124,974
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	14,556,191	14,809,825
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	332,761,733	341,455,506
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,783,985	30,012,225
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	592,976,967	679,619,264
21	Total liabilities (Part X, line 26).............	10,017,809	13,553,095
22	Net assets or fund balances. Subtract line 21 from line 20.....	582,959,158	666,066,169

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	To provide medical, prescription drugs, dental, vision, behavioral health, disability, and death benefits for eligible participants and their dependents.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) Raymond J Buratto...................................................................... Co-Chair, Trustee	4.00 .................	X	X		13,238	0	28,346
(2) Earl D Ishbia...................................................................... Trustee	2.00 .................	X			12,000	0	28,346
(3) Robert W Jones...................................................................... Trustee	2.00 .................	X			12,000	0	28,346
(4) Gregory W Nowak...................................................................... Co-Chair, Trustee	4.00 .................	X	X		0	0	0
(5) Kevin Moore...................................................................... Trustee	2.00 .................	X			0	0	0
(6) Ellis Wood...................................................................... Trustee	2.00 .................	X			0	0	0
(7) Ann Zick...................................................................... Trustee	2.00 .................	X			0	0	0
(8) Thomas Ziembovic...................................................................... Trustee	2.00 .................	X			0	0	0
(9) Kyle Stallman...................................................................... Executive Director	55.00 .................		X		360,612	0	64,225
(10) William Deighton...................................................................... Director of IT and Service	45.00 .................			X	215,749	0	55,650
(11) Bryan Carney...................................................................... Director of Financial Services	45.00 .................			X	186,913	0	59,064
(12) Patricia LaVigne...................................................................... Sr. Director of Benefit Admin	45.00 .................			X	201,189	0	39,211
(13) Sandra Bowman-Claus...................................................................... Senior Director for Plan Operations	45.00 .................			X	165,621	0	52,147
(14) Vishal Sharma...................................................................... Computer Systems Analyst	45.00 .................			X	153,644	0	57,833

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,320,966	0	413,168

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	Employer Contributions	900099	349,500,235	349,500,235
b	Retiree Contributions	900099	2,945,804	2,945,804
c	Cobra Contributions	900099	708,560	708,560
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		353,154,599

3 Investment income (including dividends, interest, and othersimilar amounts) ......			16,911,031			16,911,031
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	9,292
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	9,292
d	Net rental income or (loss).......			9,292			9,292
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	122,851,218
b	Less: cost or other basis and sales expenses	7b	121,558,014
c	Gain or (loss)	7c	1,293,204
d	Net gain or (loss).........			1,293,204			1,293,204
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	Legal Settlement		900099	99,605			99,605
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			99,605
12	Total revenue. See instructions.....			371,467,731	353,154,599	0	18,313,132

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	314,520,707
5	Compensation of current officers, directors, trustees, and key employees ...........	542,264
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	7,034,065
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,730,817
9	Other employee benefits .......	2,244,917
10	Payroll taxes ...........	572,911
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	201,655
c	Accounting ...........	86,504
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,875,884
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	9,575,865
12	Advertising and promotion ....
13	Office expenses .......	624,701
14	Information technology ......	1,111,687
15	Royalties ..
16	Occupancy ...........	402,004
17	Travel ............	27,792
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,219
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	427,506
23	Insurance ...	360,331
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Repairs & Maintenance	60,035
b	Recruitment Expense	41,394
c	Employee Relations	8,103
d	Dues & Subscriptions	4,145
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	341,455,506
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			15,998,873	1	11,285,798
2	Savings and temporary cash investments .........			6,216,717	2	7,524,022
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			19,475,274	4	29,175,896
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			423,999	9	631,674
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	9,473,327
b	Less: accumulated depreciation	10b	6,391,066	3,394,908	10c	3,082,261
11	Investments—publicly traded securities .			175,146,888	11	211,815,797
12	Investments—other securities. See Part IV, line 11 .....			371,601,132	12	414,615,841
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			719,176	15	1,487,975
16	Total assets. Add lines 1 through 15 (must equal line 33)...			592,976,967	16	679,619,264

17	Accounts payable and accrued expenses .....	2,283,724	17	3,744,754
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	7,734,085	25	9,808,341
26	Total liabilities. Add lines 17 through 25..	10,017,809	26	13,553,095

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	582,959,158	27	666,066,169
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	582,959,158	32	666,066,169
33	Total liabilities and net assets/fund balances ........	592,976,967	33	679,619,264

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No