2020-05-06T10:40:46-05:00 2019-10-31 231144520 TAIT WELLER & BAKER LLP 50 SOUTH 16TH STREET SUITE 2900 PHILADELPHIA PA 19102 990 2018-11-01 467526272 PHILA AREA INDPDNT SCHOOL BUSINESS PHIL 4845808844 301 IVEN AVENUE NO 315 WAYNE PA 19087 GUY GILPIN EXECUTIVE DIRECTOR 4845808844 2020-05-06 1 STACY CULLEN P00974308 2159798800 2020-05-05 73.197.240.60 2020-05-06 10:40:43 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9CA5151C01E3019CBD572A3B206599F7FE171262 2018 2020-09-23 17:36:50Z GUY GILPIN 301 IVEN AVENUE NO 315 WAYNE PA 19087 107838730 0 X N/A X 2014 PA THE PAISBOA HEALTH BENEFIT TRUST IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) TREATED AS A SINGLE EMPLOYEE BENEFIT PLAN UNDER ERISA. ITS SOLE PURPOSE IS TO PROVIDE THE BENEFITS UNDER THE PAISBOA HEALTH BENEFIT PLAN. 12 12 3 12 0 0 0 0 96619713 102064423 407233 616606 347344 131563 97374290 102812592 0 0 0 0 363103 488093 0 0 0 92032924 99138725 92396027 99626818 4978263 3185774 33280114 36368831 15342189 16047552 17937925 20321279 THE PAISBOA HEALTH BENEFIT TRUST IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) TREATED AS A SINGLE EMPLOYEE BENEFIT PLAN UNDER ERISA. ITS SOLE PURPOSE IS TO PROVIDE THE BENEFITS UNDER THE PAISBOA HEALTH BENEFIT PLAN. 0 0 92239646 102064423 BENEFITS UNDER THE PAISBOA HEALTH BENEFIT PLAN ARE CURRENTLY LIMITED TO MEDICAL, DENTAL, AND VISION BENEFITS. APPROXIMATELY 130 INDEPENDENT EDUCATIONAL INSTITUTIONS THAT ARE MEMBERS OF PAISBOA PARTICIPATE IN THE PAISBOA HEALTH BENEFIT PLAN, FUNDED BY THE PAISBOA HEALTH BENEFIT TRUST. 92239646 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 X JOAN BARONE 4845808844 301 IVEN AVENUE SUITE 315 WAYNE PA 19087 MARTHA SCACHE CHAIR 1.00 X X 0 0 0 MICHELE B TODD DIRECTOR 1.00 X 0 0 0 CHRISTINE SCHAEFER DIRECTOR 1.00 X 0 0 0 CAROL LERNER SECRETARY 1.00 X X 0 0 0 HEATHER H GELTING DIRECTOR 1.00 X 0 0 0 ALAN JOFFE DIRECTOR 1.00 X 0 0 0 CYNTHIA NICHOLS DIRECTOR 1.00 X 0 0 0 THOMAS TAFT VICE CHAIR 1.00 X X 0 0 0 DONALD KATES TREASURER 1.00 X X 0 0 0 KRISTIN HEASLEY DIRECTOR 1.00 X 0 0 0 MICHAEL JANES DIRECTOR 1.00 X 0 0 0 CLAUDINE VITA DIRECTOR 1.00 X 0 0 0 JOAN M BARONE INTERIM EXECUTIVE DIRECTOR 40.00 X 77800 0 6116 GUY GILPIN EXECUTIVE DIRECTOR 40.00 X 0 0 0 77800 0 6116 0 0 0 0 ARMSTRONG DOYLE & CARROLL 1285 DRUMMERS LANE WAYNE PA 19087 BENEFITS CONSULTING 1207784 BUSINESSSOLVER PO BOX 310411 DES MOINES IA 503310411 THIRD PARTY ADMIN. 271468 PLANSOURCE 101 SOUTH GARLAND AVE ORLANDO FL 32801 EMPLOYEE BENEFITS SOFTWARE 243582 MILLIMAN 1301 FIFTH AVENUE SUITE 3800 SEATTLE WA 981012646 BENEFITS CONSULTING 170770 TRUVERIS 2 PARK AVENUE SUITE 1500 NEW YORK NY 10016 BENEFITS CONSULTING 127920 5 MEMBER CONTRIBUTIONS 900099 102064423 102064423 102064423 601243 601243 5041501 5026138 15363 15363 15363 WELLNESS ALLOWANCE 900099 100000 100000 COMMISSIONS INCOME 900099 31563 31563 131563 102812592 102064423 0 748169 347496 347496 102133 102133 5190 5190 4282 4282 28992 28992 3922 3922 110103 110103 36250 36250 30864 30864 1466184 1466184 34458 34458 31963 31963 360000 360000 42000 42000 9822 9822 5090 5090 66278 66278 CLAIMS PAID 89738917 89738917 CLAIMS PROCESSOR 4595642 4595642 INSURANCE PREMIUMS 1925029 1925029 ADMINISTRATOR 526731 526731 155472 87607 67865 99626818 92239646 7387172 0 2363282 49614 17476304 21011120 3747281 5228694 64678 3879 9628569 10075524 33280114 36368831 49676 36996 8416135 8204362 6876378 7806194 15342189 16047552 X 17937925 20321279 17937925 20321279 33280114 36368831 X 3185774 127396 -929816 X 0 1 X 1 0 0 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 7806194 7806194 X 102909124 127396 127396 102781728 30864 30864 102812592 99595954 0 99595954 30864 30864 99626818 PART X, LINE 2: MANAGEMENT HAS REVIEWED THE TAX POSITIONS TAKEN IN THE PLAN'S FISCAL YEAR 2016-2018 TAX RETURNS AND EXPECTED TO BE TAKEN IN THE PLAN'S FISCAL YEAR 2019 TAX RETURN AND HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERSHIP IS COMPRISED OF PARTICIPATING SCHOOLS WHO BELONG TO THE PHILADELPHIA AREA INDEPENDENT SCHOOL BUSINESS OFFICERS ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S BOARD OF TRUSTEES MUST BE EMPLOYEES OF PARTICIPATING MEMBER SCHOOLS AND ARE ELECTED BY PARTICIPATING MEMBERS. THE MEMBER SCHOOLS' CONTRIBUTIONS ARE BASED UPON RATES ESTABLISHED WITH INPUT FROM ACTUARIAL AND BENEFIT ADVISORY CONSULTANTS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS CIRCULATED AMONG THE BOARD MEMBERS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET INCREASE IN BENEFIT OBLIGATIONS -929,816.