2025-02-20T14:23:36-06:00 2024-06-30 363168081 SIKICH LLC 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2023-07-01 320086947 WAICU BENEFITS CONSORTIUM INC WAIC 6082567761 122 W WASHINGTON AVE 700 MADISON WI 53703 ERIC FULCOMER PRESIDENT 6082567761 2025-02-20 1 0 BRIDGETTE MUGGE P00671418 2627549400 2025-02-20 2023 2025-03-06 01:10:19Z ERIC FULCOMER 122 W WASHINGTON AVE 700 MADISON WI 53703 24947827 0 X NA X 2003 WI WAICU BENEFITS CONSORTIUM, INC. WAS ORGANIZED TO ESTABLISH AND MAINTAIN A HEALTH AND WELFARE PLAN. 7 7 0 9 0 0 0 0 23748020 22192618 67653 753749 0 0 23815673 22946367 0 0 24667151 20491207 0 0 0 0 0 1854349 1406670 26521500 21897877 -2705827 1048490 11901634 14027898 285211 1904981 11616423 12122917 X WAICU BENEFITS CONSORTIUM, INC. WAS ORGANIZED TO ESTABLISH AND MAINTAIN A HEALTH AND WELFARE PLAN FOR THE PAYMENT OF LIFE, SICK, ACCIDENT, AND SIMILAR BENEFITS CONSTITUTING AN "EMPLOYEE WELFARE BENEFIT PLAN" WITHIN THE MEANING OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974. THE PLAN IS MAINTAINED FOR THE BENEFIT OF EMPLOYEES OF VARIOUS COLLEGE AND UNIVERSITY MEMBERS OF WAICU. 0 0 WAICU BENEFITS CONSORTIUM, INC. WAS ORGANIZED TO ESTABLISH AND MAINTAIN A HEALTH AND WELFARE PLAN FOR THE PAYMENT OF LIFE, SICK, ACCIDENT, AND SIMILAR BENEFITS CONSTITUTING AN "EMPLOYEE WELFARE BENEFIT PLAN" WITHIN THE MEANING OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974. THE PLAN IS MAINTAINED FOR THE BENEFIT OF EMPLOYEES OF VARIOUS COLLEGE AND UNIVERSITY MEMBERS OF WAICU. 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 3 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ERIC FULCOMER 6082567761 122 W WASHINGTON AVE 700 MADISON WI 53703 X DAWN PETERSON DIRECTOR 1.00 X 0 0 0 JAMES JONES DIRECTOR 1.00 X 0 0 0 AMANDA BAKER DIRECTOR 1.00 X 0 0 0 DUSTIN B HOOT DIRECTOR 1.00 X 0 0 0 REBECCA PLOECKELMAN DIRECTOR 1.00 X 0 0 0 TONYA VLASIK DIRECTOR 1.00 X 0 0 0 SUE NIEMI DIRECTOR 1.00 X 0 0 0 DENNIS BANGART DIRECTOR 1.00 X 0 0 0 ERIC FULCOMER PRESIDENT 2.00 X 0 0 0 JENNIFER DEHART SECRETARY/TREASURER 12.00 X 0 0 0 0 0 0 0 0 0 1 UMR 115 WAUSAU AVENUE WAUSAU WI 54401 THIRD PARTY ADMINISTRATOR 717899 WAICU 122 W WASHINGTON AVE SUITE 700 MADISON WI 53703 ADMINISTRATOR 491112 MILLIMAN 15800 W BLUEMOUND ROAD SUITE 100 BROOKFIELD WI 53005 ACTUARY 117547 3 PLAN CONTRIBUTIONS 525100 22192618 22192618 22192618 339907 339907 2415302 2001460 413842 413842 413842 22946367 22192618 0 753749 20491207 492772 7990 7891 141049 904 THIRD PARTY ADMINISTRAT 451010 PPO NETWORK FEES 304859 TRAINEE 147 LICENSE & FEES 48 21897877 926694 482594 2088354 382955 400595 10591985 11056355 11901634 14027898 275496 662483 9715 1242498 285211 1904981 X 11616423 12122917 11616423 12122917 11901634 14027898 X 1048490 672528 -823524 -391000 X 0 1 X 1 0 0 PREMIUMS RECEIVED IN ADVANCE 10507 ACCUMULATED EQUITY PAYABLE 1231991 1242498 X 23648269 672528 29374 701902 22946367 0 22946367 21897877 0 21897877 0 21897877 PART X, LINE 2: THE PLAN OBTAINED ITS LATEST DETERMINATION LETTER ON NOVEMBER 12, 2004, IN WHICH THE INTERNAL REVENUE SERVICE (IRS) STATED THAT THE PLAN, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE (IRC) AND WAS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE IRC AS A VEBA. THE PLAN IS REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN ITS QUALIFICATION. THE PLAN HAS BEEN AMENDED SUBSEQUENT TO THE DATE OF THE PLAN'S DETERMINATION LETTER; HOWEVER, THE PLAN ADMINISTRATOR IS NOT AWARE OF ANY EVENTS THAT HAVE OCCURRED THAT MIGHT ADVERSELY AFFECT THE PLAN'S QUALIFIED STATUS. US GAAP REQUIRES 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 IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PRIOR PERIOD ADJUSTMENT 29,374. 0 0 0 FORM 990, PART VII, LINE-5 THE DIRECTOR AND OFFICERS OF WAICU BENEFITS CONSORTIUM, INC. ARE COMPENSATED BY THE UNRELATED BUT AFFILIATED ORGANIZATION, WISCONSIN ASSOCIATION OF INDEPENDENT COLLEGES AND UNIVERSITIES, INC. (WAICU). WAICU HAS PROCESSES FOR DETERMINING THE COMPENSATION OF THESE PERSONS THAT INCLUDE AN ANNUAL REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REFERENCE TO COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. FOR FISCAL YEAR ENDING 6.30.24, THE ORGANIZATION PAID A MANAGEMENT FEE OF $492,772 PART OF WHICH IS CONSIDERED COMPENSATION FOR: ERIC FULCOMER, PRESIDENT, TOTAL 2023 CALENDAR YEAR COMPENSATION AND BENEFITS OF APPROXIMATELY $18,710 JENNIFER DEHART, SECRETARY/TREASURER, TOTAL 2023 CALENDAR YEAR COMPENSATION AND BENEFITS OF APPROXIMATELY $44,510 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS POSTED TO THE BOARD OF DIRECTORS WEB PORTAL AT LEAST ONE WEEK PRIOR TO FILING. THE BOARD IS GIVEN THE OPPORTUNITY TO POSE QUESTIONS TO THE ADMINISTRATORS. ANY REQUESTED CHANGES ARE MADE, AND THE REPORT IS THEN FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND ALL ESSENTIAL WAICU PERSONNEL WHO ARE ALLOCATED TO THE WAICU BENEFITS CONSORTIUM, INC. ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST FORMS. PERSONAL OR FINANCIAL RELATIONSHIPS WITH VENDORS OR POTENTIAL VENDORS WILL BE DISCLOSED TO THE BOARD AND PRESIDENT. THE PRESIDENT AND THE BOARD WILL TAKE PROMPT AFFIRMATIVE STEPS TO ELIMINATE ANY CONFLICT. NO CONFLICTS OR INTEREST HAVE OCCURRED IN THE PAST. FORM 990, PART VI, SECTION B, LINE 15 THE DIRECTOR AND OFFICERS OF WAICU BENEFITS CONSORTIUM, INC. ARE COMPENSATED BY THE UNRELATED BUT AFFILIATED ORGANIZATION, WISCONSIN ASSOCIATION OF INDEPENDENT COLLEGES AND UNIVERSITIES, INC. (WAICU). WAICU HAS PROCESSES FOR DETERMINING THE COMPENSATION OF THESE PERSONS THAT INCLUDE AN ANNUAL REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REFERENCE TO COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 THE WAICU BENEFITS CONSORTIUM, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFERS -391,000. 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