2022-10-10T11:58:04-05:00 2021-12-31 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2021-01-01 421122086 Iowa Bankers Benefit Plan IOWA 5152864300 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 Chad J Ellsworth Chief Admin Officer (IBIS) 5152864300 2022-10-10 1 Chad Ellsworth 999009999 Anna Kolakaluri P01275237 6123974000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Chad J Ellsworth 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 187863622 0 X N/A X 1978 IA Provide health & welfare benefits to employees of participating employers. 8 8 0 0 0 1144874 0 0 163897307 173069250 650676 1233050 6462113 8415222 171010096 182717522 0 0 151190113 164731567 0 0 0 0 0 8238595 6540889 159428708 171272456 11581388 11445066 49027851 64300979 28377361 31451796 20650490 32849183 The IBBP Trust was established to provide group health insurance, group life insurance, and long-term and short-term disability insurance coverage to substantially all employees of participating employers. 0 0 Provision of health & welfare benefits for employees of participating employers. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IA X Mitch Van Kley 5152864269 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 X Alex J Oponski Chairman 1.00 0.00 X 0 0 0 David A Coulter Trustee 1.00 0.00 X 0 0 0 Joshua M Guttau Trustee 1.00 0.00 X 0 0 0 James R Kennedy Jr Trustee 1.00 0.00 X 0 0 0 Marques Doppler Trustee 1.00 0.00 X 0 0 0 Gary S Kahn Trustee 1.00 0.00 X 0 0 0 Sean J Noonan Trustee 1.00 0.00 X 0 0 0 Gregory W Turner Trustee 1.00 0.00 X 0 0 0 Chad J Ellsworth Chief Admin Officer (IBIS) 5.00 40.00 X 0 334374 76000 0 334374 76000 1 0 1 0 Wellmark Blue Cross & Blue Shield of Iow PO Box 9232 Des Moines IA 50306 Claim Processing 5827399 Delta Dental PO Box 9000 Johnston IA 50131 Claim Processing 443479 2 Premium Contributions 900001 173069250 173069250 173069250 578397 578397 5800753 5146100 654653 654653 654653 Pharmacy Rebate 900001 8415222 8415222 8415222 182717522 181484472 0 1233050 164731567 53226 87176 6378352 22135 171272456 1041978 219897 25294764 35391423 1948 22689161 28689659 49027851 64300979 4721165 5863643 23656196 25588153 28377361 31451796 X 0 0 0 0 20650490 32849183 20650490 32849183 49027851 64300979 11445066 753627 0 X 0 1 X 1 0 0 IBNR Claim Reserve Liability 14253000 Premiums Collected in Advance 11335153 25588153 X 183471149 753627 753627 182717522 0 182717522 171272456 0 171272456 0 171272456 Part X, Line 2: The Plan accounts for income taxes under the liability method as prescribed by Accounting Standards Codification (ASC) 740, Income Taxes. Under the liability method, deferred income taxes are derived on the differences between the book and tax basis of assets and liabilities. The Plan had book and tax differences on the carrying value of certain investments. As of and for the years ended December 31, 2021 and December 31, 2020, the Plan had incurred $345,783 and $0, respectively, of expense and liabilities associated with unrelated business income. 0 0 0 Chad J Ellsworth Chief Admin Officer (IBIS) 0 292815 0 38926 0 2633 0 51310 0 24690 0 410374 0 0 Part I, Line 3 The organization relies upon the method used by the related organization to determine compensation. Form 990, Part VI, Section A, line 6 The Board of Directors of Iowa Bankers Insurance and Services, Inc. or a majority of the participating employers may remove and elect any or all of the trustees from their office. All actions and decisions of the trustees shall be determined by a majority vote of the trustees at any regular or special meeting of the trustees. Form 990, Part VI, Section A, line 7a See explanation in Part VI, Section A, Line 6. Form 990, Part VI, Section B, line 11b The Board of Trustees reviews and approves the Audited Financial Statements which are used to complete the Form 990. The Form 990 is provided to each trustee for their review, comments and approval prior to the filing of the form. Form 990, Part VI, Section B, line 12c The Iowa Bankers Benefit Plan requires annual disclosure of a conflict of interest by a trustee, director, officer, key employee to the Chairman of the Board of Trustees and Chief Administrative Officer who are responsible for the oversight and enforcement of the policy. All disclosures are reviewed and any concerns are addressed. If conflicts are identified, the Chairman and Chief Administrative Officer work to ensure that the trustees, directors, officers, or key employees do not participate in discussions or vote on the affected matter. Form 990, Part VI, Section B, line 15 Iowa Bankers Association Executive Committee, which is made up of bankers from each of our Boards, determines the compensation of top management officials and officers using comparable data. Form 990, Part VI, Section C, line 19 Governing documents, conflicts of interest policy and financial statements are available to the public upon request. Iowa Bankers Association 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 420330040 Promote Banks IA Section 501(C)(6) N/A N/A 0 BUILD- Federal Fund 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 421208575 PAC IA Section 527 N/A N/A 0 Iowa Leaders in Education and Advocacy 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 465523330 Social Welfare IA Section 501(C)(4) N/A IA Bankers Association 0 BUILD- State Fund 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 421208577 QSLPO IA 527 N/A N/A 0 Iowa Bankers Insurance & Services Inc 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 420984998 Sales-Ins. & Mtg IA N/A C 0 Mid America Bankers Insurance Services 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 421167893 Banking Services IA N/A C 0 Iowa Bankers Mortgage Corporation 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 421130287 Mortgage Banking IA N/A C 0 Iowa-Midwest Insurance Company 8901 Northpark Drive PO Box 6200 Johnston IA 501316200 860309358 Insurance IA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Iowa Bankers Insurance & Services S 1772187 FMV Iowa Bankers Mortgage Corp S 1743370 FMV