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        <ExplanationTxt>South East Education Cooperative serves as the Secretary for the Board of Trustees, and is also responsible for management of the Trust. They were paid $185,188 in 2023 for these services.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The bylaws of the organization were updated during 2023 to change the term of elected Officers from (1) year terms to two (2) year terms. Updated Part 1 of Article III of the Bylaws adopted at a meeting of the board reads as follows: 1. The officers of the Trust shall be elected or appointed by the Board and shall be a Chairperson, a Chairperson-Elect, a Secretary, and a Treasurer. Officers shall be elected to two (2) year terms and such terms shall commence January 1st. Other Officers and Assistant Officers may be elected or appointed by the Board.</ExplanationTxt>
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        <ExplanationTxt>The South East Education Cooperative and the North Dakota Insurance Reserve Fund each have the authority to appoint a Trustee.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Trustees for he North Dakota Public Health Insurance Trust must annually comply with the conflict of interest policy. Potential conflicts are reviewed by the Chairperson and the remaining Trustees will discuss and vote on whether a confilct of interest exists in each individual instance. If a conflict exists, the Trustees shall determine whether the organization can obtain, with reasonable effort, a more advantageous transaction or arrangement from a person or entity that would not produce a conflict of interest. If an alternative transaction or arrangement is not feasible, the board of Trustees shall determine by a majority vote of the disinterested Trustees whether the transaction or arrangement is in the best interests of the organization, for its own benefit, and fair and reasonable.</ExplanationTxt>
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        <ExplanationTxt>The governing documents, and financial statements are available upon request. The Trust does not have a conflict of interest policy.</ExplanationTxt>
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