Civic Intelligence

Nisource Union Post-65 Retiree Medical

EIN 22-3203500 • 501(c)9 • Merrillville, IN

View Organization Page

Profile

PROVIDE MEDICAL BENEFITS

801 East 86th AvenueMerrillville, IN 46410

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

26th percentile

0.00x

Higher debt load relative to assets than 26% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

42nd percentile

0.01x

Higher debt load relative to revenue than 42% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Net Margin

80th percentile

23%

Higher net margin than 80% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

44th percentile

$0

Higher top officer pay than 44% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Asset Growth

39th percentile

4.2%

Faster asset growth than 39% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

93rd percentile

57%

Faster revenue growth than 93% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets26th percentile

Assets

Up

$41,229,182

Up $1,657,322 (+4.2%) from 2023

Liabilities

Up

$51,498

Up $3,974 (+8.4%) from 2023

Net Assets

Up

$41,177,684

Up $1,653,348 (+4.2%) from 2023

Operations
Liabilities / Revenue42nd percentileNet Margin80th percentile

Revenue

Up

$3,458,289

Up $1,256,539 (+57%) from 2023

Expenses

Down

$2,669,502

Down $593,225 (-18%) from 2023

Net Income

Up

$788,787

Up $1,849,764 (+174%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth39th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $145,648,750Liabilities 2010: $128,476Net Assets 2010: $145,520,2742010Assets 2011: $149,174,039Liabilities 2011: $98,312Net Assets 2011: $149,075,7272011Assets 2012: $173,399,111Liabilities 2012: $100,734Net Assets 2012: $173,298,3772012Assets 2013: $208,053,895Liabilities 2013: $143,063Net Assets 2013: $207,910,8322013Assets 2014: $111,256,456Liabilities 2014: $89,379Net Assets 2014: $111,167,0772014Assets 2015: $65,094,847Liabilities 2015: $110,586Net Assets 2015: $64,984,2612015Assets 2016: $36,117,158Liabilities 2016: $52,550Net Assets 2016: $36,064,6082016Assets 2017: $39,978,046Liabilities 2017: $38,354Net Assets 2017: $39,939,6922017Assets 2018: $35,139,910Liabilities 2018: $44,532Net Assets 2018: $35,095,3782018Assets 2019: $40,138,839Liabilities 2019: $40,758Net Assets 2019: $40,098,0812019Assets 2020: $45,489,049Liabilities 2020: $34,918Net Assets 2020: $45,454,1312020Assets 2021: $48,484,167Liabilities 2021: $33,520Net Assets 2021: $48,450,6472021Assets 2022: $37,459,376Liabilities 2022: $40,414Net Assets 2022: $37,418,9622022Assets 2023: $39,571,860Liabilities 2023: $47,524Net Assets 2023: $39,524,3362023Assets 2024: $41,229,182Liabilities 2024: $51,498Net Assets 2024: $41,177,6842024

Highlighted filing

2024

Assets$41,229,182
Liabilities$51,498
Net Assets$41,177,684
Open 2024 Filing

Operations Trend

Revenue Growth93rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $6,982,4102010Expenses 2011: $6,626,0942011Expenses 2012: $6,558,8442012Revenue 2013: $17,308,334Expenses 2013: $6,687,317Net Income 2013: $10,621,0172013Revenue 2014: $10,789,985Expenses 2014: $2,822,543Net Income 2014: $7,967,4422014Revenue 2015: $6,314,434Expenses 2015: $3,205,227Net Income 2015: $3,109,2072015Revenue 2016: $2,833,649Expenses 2016: $1,924,556Net Income 2016: $909,0932016Revenue 2017: $2,446,134Expenses 2017: $2,108,070Net Income 2017: $338,0642017Revenue 2018: $1,314,358Expenses 2018: $2,511,674Net Income 2018: -$1,197,3162018Revenue 2019: $1,926,570Expenses 2019: $2,418,733Net Income 2019: -$492,1632019Revenue 2020: $2,506,440Expenses 2020: $1,933,937Net Income 2020: $572,5032020Revenue 2021: $3,238,480Expenses 2021: $2,075,089Net Income 2021: $1,163,3912021Revenue 2022: $1,459,029Expenses 2022: $2,604,388Net Income 2022: -$1,145,3592022Revenue 2023: $2,201,750Expenses 2023: $3,262,727Net Income 2023: -$1,060,9772023Revenue 2024: $3,458,289Expenses 2024: $2,669,502Net Income 2024: $788,7872024

Highlighted filing

2024

Revenue$3,458,289
Expenses$2,669,502
Net Income$788,787
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$41,229,182
Liabilities
$51,498
Net assets
$41,177,684
Revenue
$3,458,289
Expenses
$2,669,502
Net income
$788,787
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$41.2$0.05$41.2$3.46$2.67$0.79
2023Summary only. Only limited summary data is available for this year.$39.6$0.05$39.5$2.20$3.26$1.06
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$37.5$0.04$37.4$1.46$2.60$1.15
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$48.5$0.03$48.5$3.24$2.08$1.16
2020Summary only. Only limited summary data is available for this year.$45.5$0.03$45.5$2.51$1.93$0.57
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$40.1$0.04$40.1$1.93$2.42$0.49
2018Summary only. Only limited summary data is available for this year.$35.1$0.04$35.1$1.31$2.51$1.20
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$40.0$0.04$39.9$2.45$2.11$0.34
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.1$0.05$36.1$2.83$1.92$0.91
2015Detailed filing. Detailed filing data is available for this year.$65.1$0.11$65.0$6.31$3.21$3.11
2014Summary only. Only limited summary data is available for this year.$111$0.09$111$10.8$2.82$7.97
2013Detailed filing. Detailed filing data is available for this year.$208$0.14$208$17.3$6.69$10.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$173$0.10$173$6.56
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$149$0.10$149$6.63
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$146$0.13$146$6.98
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$6,489,648
Mission and Program Overview

Mission

PROVIDE MEDICAL BENEFITS

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$48,450,647$37,418,962▼ $11,031,685
Investments in Publicly Traded Securities$39,880,154$30,305,297▼ $9,574,857
Investments Other Securities$7,949,769$6,033,159▼ $1,916,610
Savings and Temporary Cash Investments$604,057$1,053,455▲ $449,398
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$48,484,167$37,459,376▼ $11,024,791
Other Assets Total$50,187$67,465▲ $17,278
Liabilities
Accounts Payable and Accrued Expenses$33,520$40,414▲ $6,894
Total Liabilities$33,520$40,414▲ $6,894
Net Assets / Fund Balance
Total Net Assets Fund Balance$48,450,647$37,418,962▼ $11,031,685
Total Liabilities and Net Assets / Fund Balance$48,484,167$37,459,376▼ $11,024,791

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$6,033,159--
Compensation and Service Providers
Top Officer Pay44th percentile

Board Members and Trustees

NameTitle
Brett RadulovichAgent of Pln Administrator
Gunnar GodeAgent of Pln Administrator
Jillian HansenAgent of Pln Administrator
Melanie BermanAgent of Pln Administrator
Randy HulenAgent of Pln Administrator
Kimberly CartellaAgent of Pln Administrator - New
Aaron BrowAgent of Pln Administrator - Past
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$160,949
Investment Income
$1,298,080
Other Revenue
$0
Change in Net Assets
$-1,145,359
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$93,916
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$2,510,472
Fees for Services Legal---$46,552
Fees for Services Accounting---$27,706
Fees for Service Investment Mgmnt Fees---$19,658
Total Functional Expenses$0$0$0$2,604,388
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The completed form 990 is provided to certain agents of the plan administrator and the sponsor of the fund. They review the form and discuss any matters about which they are uncertain. Upon fully understanding the completed form 990, the form is approved and submitted electronically to the irs.”

Form 990, Part VI, Section B, Line 12C

“The company conducts, at least annually, a survey of officers and selected employees regarding relationships with vendors, etc. As determined by the vice-president, audit and ethics officer. The purpose of this survey is to disclose any direct or indirect interest or a position held in the entity that might present a conflict of interest, financial or otherwise.”

Form 990, Part VI, Section C, Line 19

“The governing documents, conflict of interest policy and financial statements are available upon request at the office of the plan sponsor.”

Filing and Contact Details

Filer

Filer Name
Nisource Union Post-65 Retiree Medical
EIN
22-3203500
Phone
2196475990
Address
801 EAST 86TH AVENUE, MERRILLVILLE, IN 46410

Signing Officer

Name
Randy Hulen
Title
VP Investor Relations & Treasurer
Phone
2196475688
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Randy Hulen
Formed
1992
Legal Domicile
Il
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Legacy Professionals Llp
Address
222 INDIANAPOLIS SUITE 103, SCHERERVILLE, IN 46375
Preparer
Adam Simaga
Phone
3123680500
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Transfer of assets between trusts -20,582.”

PAGE 12, PART XII - FINANCIAL STATEMENTS:

“The activity of the trust is audited at the plan level and not at the trust level. The audit of the plan is prepared in accordance with generally accepted accounting principles and may include more than one trust which participates in the plan.”

Financial Statement Notes

PART X, LINE 2:

“Gaap requires plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the plan has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”

Raw XML Appendix391 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt033520
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt040414
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROVIDE MEDICAL BENEFITS
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BenefitsToMembersGrp/TotalAmt02510472
IRS990/BooksInCareOfDetail/PersonNm0TODD LANICH
IRS990/BooksInCareOfDetail/PhoneNum06144604623
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0290 W NATIONWIDE BLVD
IRS990/BooksInCareOfDetail/USAddress/CityNm0COLUMBUS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OH
IRS990/BooksInCareOfDetail/USAddress/ZIPCd043215
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd01
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt02510472
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt01298080
IRS990/CYOtherExpensesAmt093916
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0160949
IRS990/CYRevenuesLessExpensesAmt0-1145359
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt02604388
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt01459029
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0TO PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt027706
IRS990/FeesForServicesLegalGrp/TotalAmt046552
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt019658
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd6X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/PersonNm0RANDY HULEN
IRS990/Form990PartVIISectionAGrp/PersonNm1GUNNAR GODE
IRS990/Form990PartVIISectionAGrp/PersonNm2BRETT RADULOVICH
IRS990/Form990PartVIISectionAGrp/PersonNm3KIMBERLY CARTELLA
IRS990/Form990PartVIISectionAGrp/PersonNm4MELANIE BERMAN
IRS990/Form990PartVIISectionAGrp/PersonNm5AARON BROW
IRS990/Form990PartVIISectionAGrp/PersonNm6JILLIAN HANSEN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/TitleTxt0AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3AGENT OF PLN ADMINISTRATOR - NEW
IRS990/Form990PartVIISectionAGrp/TitleTxt4AGENT OF PLN ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5AGENT OF PLN ADMINISTRATOR - PAST
IRS990/Form990PartVIISectionAGrp/TitleTxt6AGENT OF PLN ADMINISTRATOR
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr01992
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt0617756
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt05648375
IRS990/GrossReceiptsAmt06489648
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt06
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0680324
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0680324
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt07949769
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt06033159
IRS990/InvestmentsPubTradedSecGrp/BOYAmt039880154
IRS990/InvestmentsPubTradedSecGrp/EOYAmt030305297
IRS990/IRPDocumentCnt04
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IL
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt05030619
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0PROVIDE MEDICAL BENEFITS
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt048450647
IRS990/NetAssetsOrFundBalancesEOYAmt037418962
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0617756
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0617756
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-9865744
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt050187
IRS990/OtherAssetsTotalGrp/EOYAmt067465
IRS990/OtherChangesInNetAssetsAmt0-20582
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0RANDY HULEN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0MED PART D REIMB FROM ER
IRS990/ProgramServiceRevenueGrp/Desc1EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt085949
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt175000
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt085949
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt175000
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt01980657
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt03116710
IRS990/PYOtherExpensesAmt094432
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0121770
IRS990/PYRevenuesLessExpensesAmt01163391
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt02075089
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt03238480
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-1145359
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt048450647
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt037418962
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0604057
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01053455
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt06033159
IRS990ScheduleD/OtherSecuritiesGrp/Desc0COMMON COLLECTIVE TRUSTS
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueSecuritiesAmt06033159
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE COMPLETED FORM 990 IS PROVIDED TO CERTAIN AGENTS OF THE PLAN ADMINISTRATOR AND THE SPONSOR OF THE FUND. THEY REVIEW THE FORM AND DISCUSS ANY MATTERS ABOUT WHICH THEY ARE UNCERTAIN. UPON FULLY UNDERSTANDING THE COMPLETED FORM 990, THE FORM IS APPROVED AND SUBMITTED ELECTRONICALLY TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE COMPANY CONDUCTS, AT LEAST ANNUALLY, A SURVEY OF OFFICERS AND SELECTED EMPLOYEES REGARDING RELATIONSHIPS WITH VENDORS, ETC. AS DETERMINED BY THE VICE-PRESIDENT, AUDIT AND ETHICS OFFICER. THE PURPOSE OF THIS SURVEY IS TO DISCLOSE ANY DIRECT OR INDIRECT INTEREST OR A POSITION HELD IN THE ENTITY THAT MIGHT PRESENT A CONFLICT OF INTEREST, FINANCIAL OR OTHERWISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE OFFICE OF THE PLAN SPONSOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3TRANSFER OF ASSETS BETWEEN TRUSTS -20,582.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ACTIVITY OF THE TRUST IS AUDITED AT THE PLAN LEVEL AND NOT AT THE TRUST LEVEL. THE AUDIT OF THE PLAN IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND MAY INCLUDE MORE THAN ONE TRUST WHICH PARTICIPATES IN THE PLAN.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4PAGE 12, PART XII - FINANCIAL STATEMENTS:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0352108964
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0DE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0CONTRIBUTING EMPLOYER/SPONSOR
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0NISOURCE INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0801 E 86TH AVE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0MERRILLVILLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0IN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd046410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0NISOURCE NON-UNION POST-65 RETIREE MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1NISOURCE NON-UNION LIFE AND MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2NISOURCE UNION LIFE AND MEDICAL BENEFITS VEBA TRUST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3NORTHERN INDIANA PUBLIC CO HEALTH & MEDICAL BEN TRST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0223203498
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1206907686
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2510344224
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN3351883904
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt3501(C)9
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd3IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1PROVIDE LIFE & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS & DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2PROVIDE LIFE & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS & DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt3PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt1801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt2801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt3801 EAST 86TH AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm3MERRILLVILLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd3IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd046410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd146410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd246410
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd346410
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd01
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt048484167
IRS990/TotalAssetsEOYAmt037459376
IRS990/TotalAssetsGrp/BOYAmt048484167
IRS990/TotalAssetsGrp/EOYAmt037459376
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt02604388
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt033520
IRS990/TotalLiabilitiesEOYAmt040414
IRS990/TotalLiabilitiesGrp/BOYAmt033520
IRS990/TotalLiabilitiesGrp/EOYAmt040414
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt048450647
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt037418962
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt0160949
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01298080
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0160949
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01459029
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt048484167
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt037459376
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0801 EAST 86TH AVENUE
IRS990/USAddress/CityNm0MERRILLVILLE
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd046410
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RANDY HULEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VP INVESTOR RELATIONS & TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum02196475688
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NISOURCE UNION POST-65 RETIREE MEDICAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0BENEFITS VEBA TRUST
ReturnHeader/Filer/BusinessNameControlTxt0NISO
ReturnHeader/Filer/EIN0223203500
ReturnHeader/Filer/PhoneNum02196475990
ReturnHeader/Filer/USAddress/AddressLine1Txt0801 EAST 86TH AVENUE
ReturnHeader/Filer/USAddress/CityNm0MERRILLVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046410
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0320043599
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LEGACY PROFESSIONALS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0222 INDIANAPOLIS SUITE 103
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SCHERERVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd046375
ReturnHeader/PreparerPersonGrp/PhoneNum03123680500
ReturnHeader/PreparerPersonGrp/PreparationDt02023-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ADAM SIMAGA
ReturnHeader/ReturnTs02023-11-15T11:25:59-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0RANDY
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0HULEN
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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