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.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
ELECTRICAL WORKERS' INSURANCE FUND
 
Employer identification number

38-1393235
Return Reference Explanation
FORM 990 - ORGANIZATION'S MISSION THE FUND WAS ESTABLISHED BY COLLECTIVE-BARGAINING BETWEEN IBEW LOCAL 58 AND SMC NECA TO PROVIDE HEALTH INSURANCE TO MEMBER ELECTRICIANS AND THEIR FAMILIES. OVER 5,500 PARTICIPANTS AND 6,500 BENEFICIARIES & DEPENDENTS BENEFIT.
FORM 990, PAGE 5, PART V, LINE 3B THE ORGANIZATION DID NOT EARN ANY UNRELATED BUSINESS INCOME DURING THE YEAR.
FORM 990, PART VI PART VI, LINE 2: THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A "BUSINESS RELATIONSHIP". THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT HARTLEY FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 2 SEE SCHEDULE O
FORM 990, PAGE 6, PART VI, LINE 7A THE UNION AND THE EMPLOYER ASSOCIATION APPOINT TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD REVIEWS FORM 990 BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12C THE FUND ENFORCES ITS CONFLICT OF INTEREST POLICY IN ACCORDANCE WITH RULES OF ERISA OF 1974 GOVERNING PROHIBITED TRANSACTIONS.
FORM 990, PAGE 6, PART VI, LINE 15A THE BENEFIT DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY BY INDEPENDENT BOARD MEMBERS. THE BOARD REVIEWS COMPARABLE DATA OF BASE AND VARIABLE COMPENSATION TO INDUSTRY STANDARDS. MEETING MINUTES ARE MAINTAINED IN WRITTEN FORM.
FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD APPROVES A BUDGET WHERE THE COMPENSATION OF ALL EMPLOYEES ARE LISTED. MEETING MINUTES ARE MAINTAINED IN WRITTEN FORM.
FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PAGE 7, PART VII KIMBERLY L'HEUREUX AVERAGED 23 HOURS OF WORK PER WEEK DURING THE PERIOD FOR A RELATED ORGANIZATION. WAGES WERE TAKEN FROM A DEPT. OF LABOR FILING AND THE FRINGES WERE ESTIMATED. JAMES PELTIER AVERAGED 40 HOURS OF WORK PER WEEK DURING THE PERIOD FOR A RELATED ORGANIZATION. WAGES WERE TAKEN FROM A DEPT. OF LABOR FILING AND THE FRINGES WERE ESTIMATED. CHRISTIAN KULIKOWSKI AVERAGED 4 HOURS OF WORK PER WEEK DURING THE PERIOD FOR A RELATED ORGANIZATION. WAGES WERE TAKEN FROM FRINGE BENEFIT REPORTS. THOMAS MITTELBRUN, III AVERAGED 40 HOURS OF WORK PER WEEK DURING THE PERIOD FOR A RELATED ORGANIZATION. ACTUAL AMOUNTS ARE REPORTED.
FORM 990, PART XI, LINE 9 ROUNDING 4
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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