TY 2021 Form 990 Schedule O

efile Public Visual Render ObjectId: 202233229349300918 - Submission: 2022-11-18 TIN: 22-2471827

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.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

AWW CO INC & ITS DESIGNATED SUB
AFFIL GROUP INSURANCE TRUST

Employer identification number

22-2471827

Return Reference	Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANZIATION MISSION:	THE TRUST IS A VOLUNTARY EMPLOYEE'S BENEFICIARY ASSOCIATION (THE "VEBA") ESTABLISHED BY AMERICAN WATER WORKS COMPANY INC. (THE COMPANY). THE COMPANY AND PARTICIPANTS FUND THE VEBA SOLELY TO PROVIDE GROUP INSURANCE, EMPLOYEE ASSISTANCE AND LONG-TERM DISABILITY BENEFITS TO THE COMPANY'S EMPLOYEES. THE GROUP INSURANCE PLAN, (MEDICAL, DENTAL, PRESCRIPTION, VISION, GROUP LIFE INSURANCE, SHORT TERM DISABILITY AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS) AND THE EMPLOYEE ASSISTANCE PLAN ARE PROVIDED TO ALL FULL-TIME PERMANENT EMPLOYEES AND, AS PERMITTED UNDER THE PLAN, TO DEPENDENTS. THE LONG-TERM DISABILITY PLAN PROVIDES ITS BENEFITS TO THE COMPANY'S NON-BARGAINING UNIT EMPLOYEES.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF AMERICAN WATER WORKS COMPANY, INC. APPOINTS THE MEMBERS OF THE RETIREMENT/BENEFITS COMMITTEE. THE COMMITTEE MEMBERS SERVE ON A VOLUNTARY BASIS AS THE INDIVIDUAL TRUSTEES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED BY THE BENEFITS COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C	AMERICAN WATER WORKS CO, INC MAINTAINS A CODE OF ETHICS THAT GOVERNS THE ACTIONS OF THE BENEFITS COMMITTEE MEMBERS. THE CODE REQUIRES THAT CONFLICTS OF INTEREST BE AVOIDED, REQUIRES ANNUAL CERTIFICATION OF COMPLIANCE AND INCLUDES A "NO RETALIATION" POLICY REGARDING REPORTS OF VIOLATIONS.
FORM 990, PART VI, SECTION C, LINE 19	EMPLOYEES RECEIVE A SUMMARY PLAN DOCUMENT (SPD) WHEN HIRED. A SUMMARY ANNUAL REPORT (SAR) IS DISTRIBUTED ANNUALLY. THE CODE OF ETHICS ON THE COMPANY'S INTERNET AND INTRANET SITES, HARD COPIES ARE AVAILABLE THROUGH THE HR DEPARTMENT. ALL OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN CLAIMS PAYABLE COMPARING WITH 2021 AND 2020 -504,133.
FORM 990, PART XII, LINE 1	THE ACCOUNTING METHOD IS MODIFIED CASH. AN ANNUAL AUDIT IS CONDUCTED BY AN INDEPENDENT AUDITOR FOR AMERICAN WATER WORKS COMPANY, INC AND ITS DESIGNATED SUBS. AND AFFIL GROUP INSURANCE PLAN (PLAN). THE PLAN INCLUDES THIS VEBA AS WELL AS OTHER VEBAS REPORTED ON SCHEDULE R.
FORM 990, PART XII, LINE 2C	NO CHANGE FROM THE PRIOR YEAR.
FORM 990, PART VII	THIS VEBA TRUST PAYS THE INSTITUTIONAL TRUSTEE AND OTHER INDEPENDENT CONTRACTORS BY THE SERVICE RENDERED.

Return Reference

Explanation

FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANZIATION MISSION:

THE TRUST IS A VOLUNTARY EMPLOYEE'S BENEFICIARY ASSOCIATION (THE "VEBA") ESTABLISHED BY AMERICAN WATER WORKS COMPANY INC. (THE COMPANY). THE COMPANY AND PARTICIPANTS FUND THE VEBA SOLELY TO PROVIDE GROUP INSURANCE, EMPLOYEE ASSISTANCE AND LONG-TERM DISABILITY BENEFITS TO THE COMPANY'S EMPLOYEES. THE GROUP INSURANCE PLAN, (MEDICAL, DENTAL, PRESCRIPTION, VISION, GROUP LIFE INSURANCE, SHORT TERM DISABILITY AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS) AND THE EMPLOYEE ASSISTANCE PLAN ARE PROVIDED TO ALL FULL-TIME PERMANENT EMPLOYEES AND, AS PERMITTED UNDER THE PLAN, TO DEPENDENTS. THE LONG-TERM DISABILITY PLAN PROVIDES ITS BENEFITS TO THE COMPANY'S NON-BARGAINING UNIT EMPLOYEES.

FORM 990, PART VI, SECTION A, LINE 7A

THE BOARD OF DIRECTORS OF AMERICAN WATER WORKS COMPANY, INC. APPOINTS THE MEMBERS OF THE RETIREMENT/BENEFITS COMMITTEE. THE COMMITTEE MEMBERS SERVE ON A VOLUNTARY BASIS AS THE INDIVIDUAL TRUSTEES OF THE ORGANIZATION.

FORM 990, PART VI, SECTION B, LINE 11B

THE FORM 990 IS REVIEWED BY THE BENEFITS COMMITTEE.

FORM 990, PART VI, SECTION B, LINE 12C

AMERICAN WATER WORKS CO, INC MAINTAINS A CODE OF ETHICS THAT GOVERNS THE ACTIONS OF THE BENEFITS COMMITTEE MEMBERS. THE CODE REQUIRES THAT CONFLICTS OF INTEREST BE AVOIDED, REQUIRES ANNUAL CERTIFICATION OF COMPLIANCE AND INCLUDES A "NO RETALIATION" POLICY REGARDING REPORTS OF VIOLATIONS.

FORM 990, PART VI, SECTION C, LINE 19

EMPLOYEES RECEIVE A SUMMARY PLAN DOCUMENT (SPD) WHEN HIRED. A SUMMARY ANNUAL REPORT (SAR) IS DISTRIBUTED ANNUALLY. THE CODE OF ETHICS ON THE COMPANY'S INTERNET AND INTRANET SITES, HARD COPIES ARE AVAILABLE THROUGH THE HR DEPARTMENT. ALL OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST.

FORM 990, PART XI, LINE 9:

CHANGE IN CLAIMS PAYABLE COMPARING WITH 2021 AND 2020 -504,133.

FORM 990, PART XII, LINE 1

THE ACCOUNTING METHOD IS MODIFIED CASH. AN ANNUAL AUDIT IS CONDUCTED BY AN INDEPENDENT AUDITOR FOR AMERICAN WATER WORKS COMPANY, INC AND ITS DESIGNATED SUBS. AND AFFIL GROUP INSURANCE PLAN (PLAN). THE PLAN INCLUDES THIS VEBA AS WELL AS OTHER VEBAS REPORTED ON SCHEDULE R.

FORM 990, PART XII, LINE 2C

NO CHANGE FROM THE PRIOR YEAR.

FORM 990, PART VII

THIS VEBA TRUST PAYS THE INSTITUTIONAL TRUSTEE AND OTHER INDEPENDENT CONTRACTORS BY THE SERVICE RENDERED.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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