2021-11-12T09:54:13-06:00 2021-06-30 421104473 MCGOWEN HURST CLARK & SMITH PC 1601 W LAKES PKWY STE 300 WEST DES MOINES IA 50266 990 2020-07-01 426167033 HEALTHALLIANCE BENEFIT PLAN HEAL 5152247545 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 RONALD N LANGSTON PRESIDENT 5152247545 2021-11-02 true RONALD LANGSTON 999009999 MICHELLE LEONARD CPA P01522217 5152883279 2021-11-02 2020 2022-09-23 18:48:47Z RONALD N LANGSTON 14908917 false X X 1950 IA PROVIDES HEALTH, DENTAL, VISION AND LIFE INSURANCE PRODUCTS AND SERVICES TO FUELIOWA MEMBERS. 5 5 0 5 0 0 14455159 14553633 86442 180714 0 14541601 14734347 0 10816159 10453274 0 0 0 3146977 3363189 13963136 13816463 578465 917884 3382918 4458449 52422 104895 3330496 4353554 HEALTHALLIANCE BENEFIT PLAN PROVIDES HEALTH, DENTAL, VISION AND LIFE INSURANCE PRODUCTS AND SERVICES TO MEMBERS OF FUELIOWA AND OTHER QUALIFIED LIKE-INDUSTRY PARTICIPANTS. false false 13816463 14553633 HEALTHALLIANCE BENEFIT PLAN PROVIDES VARIOUS TYPES OF GROUP INSURANCE COVERAGE FOR MEMBERS OF THE FUELIOWA TRADE ASSOCIATION. 13816463 false false false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 2 0 true 0 false false false false false false false false X 5 5 false false false false false false false true true false false true true true true true true false false false X RONALD N LANGSTON 5152247545 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 X BROOKE LILLEY TRUSTEE 0.50 X 0 0 0 LISA ABENS TRUSTEE 0.50 X 0 0 0 ANDREW WOODARD TRUSTEE 0.50 X 0 0 0 LORI THIELEN TRUSTEE 0.50 X 0 0 0 BRYAN BANDSTRA TRUSTEE CHAI 0.50 X X 0 0 0 false false false WELLMARK BLUE CROSS BLUE SHIELD OF IOWA PO BOX 9124 DES MOINES IA 503069124 HEALTH INS. 639882 LA MAIR-MULOCK-CONDON CO 4200 UNIVERSITY AVE SUITE 200 WEST DES MOINES IA 502665945 INS. CONSULTING 175695 MILLIMAN 1120 SOUTH 101ST STREET SUITE 400 OMAHA NE 68124 ACTUARY SERVICE 123609 3 INSURANCE PREMIUMS 524298 12887290 12887290 EXCESS STOP LOSS 900099 1053243 1053243 PHARMACY REBATES 900099 577583 577583 MISCELLANEOUS 900099 35517 35517 14553633 52875 52875 302409 174570 127839 127839 127839 14734347 14553633 180714 10453274 59739 62380 16988 299304 39789 126 STOP LOSS INS. PREMIUMS 2080790 ADMINISTRATIVE CHARGES 793290 10783 13816463 0 0 0 1196378 744907 2070818 3589717 115722 123825 3382918 4458449 5909 53485 46513 51410 52422 104895 X 3330496 4353554 3330496 4353554 3382918 4458449 917884 105174 X false true X true false X 14822533 105174 105174 14717359 16988 16988 14734347 13799475 13799475 16988 16988 13816463 SCHEDULE D, PAGE 3, PART X THE VEBA TRUST FUNDING THE BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED FEBRUARY 23, 1988, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501 (C)(9) OF THE INTERNAL REVENUE CODE (IRC). UNRELATED BUSINESS INCOME TAX, IF ANY, WOULD BE RECORDED AS AN ADMINISTRATIVE EXPENSE OF THE PLAN. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN FISCAL YEARS ENDING JUNE 30, 2021 AND 2020 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE INCOME 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 IN PROGRESS FOR ANY TAX PERIODS. FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD OF TRUSTEES OF HEALTHALLIANCE BENEFIT PLAN ARE PROVIDED WITH A COMPLETE COPY OF THE FORM 990 BEFORE IT IS FILED. THE FORM IS PROVIDED TO TRUSTEES AND PRESENTED AT A MEETING OF THE TRUSTEES FOR COMMENTS AND QUESTIONS. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE TRUSTEES AND ANY CONFLICTS ARE RECORDED IN THE MINUTES. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FUELIOWA 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 420332565 TRADE ASSO IA 501C6 N/A false IOWA BENEFIT ADMINISTRATORS 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 273776704 PLAN ADMIN IA 501C6 FUELIOWA false RIN ALLIANCE INC 10430 NEW YORK AVE SUITE F URBANDALE IA 50322 420947359 COMPLIANCE IA N/A false false false false false false false false false false false false false true true true true false false false SCHEDULE R PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: NAME OF RELATED ORGANIZATION: IOWA BENEFIT ADMINISTRATORS PRIMARY ACTIVITY: PLAN ADMINISTRATION DIRECT CONTROLLING ENTITY: FUELIOWA PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST: NAME OF RELATED ORGANIZATION: RIN ALLIANCE, INC. PRIMARY ACTIVITY: ASSISTS SUBSCRIBERS IN COMPLIANCE & MARKETING RINS DIRECT CONTROLLING ENTITY: FUELIOWA