2020-10-12T15:38:34-05:00 2019-12-31 621802605 DANIELS IRWIN & AYLOR 223 MADISON STREET SUITE 112 MADISON TN 371153660 990 2019-01-01 432067325 SOUTHERN OPERATORS HEALTH FUND SOUT 6158590131 PO BOX 1449 GOODLETTSVILLE TN 370701449 TRAVIS SIMMONS CHAIRMAN 6158590131 2020-06-18 true DOUGLAS A IRWIN P01363756 6158686008 2020-10-12 75.145.51.185 2020-10-12 15:38:34 CD P C0D75F29C6C625235E48E448B155F49833ED8073 C0D75F29C6C625235E48E448B155F49833ED8073 2019 2021-04-22 16:20:28Z TRAVIS SIMMONS 45282787 false X X 2005 TN PROVISION OF BENEFITS TO PLAN PARTICIPANTS. 10 10 56 0 0 34101505 35595339 -385656 2227529 1350299 2344477 35066148 40167345 0 33867426 31174945 20396 17129 0 0 2822267 3519178 36710089 34711252 -1643941 5456093 22015846 27552366 294119 374546 21721727 27177820 THE PROVISION OF BENEFITS TO PLAN PARTICIPANTS. false false THE PROVISION OF HEALTH, DENTAL, VISION, TEMPORARY DISABILITY AND DEATH BENEFITS TO PLAN PARTICIPANTS. 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 990 0 true 56 true false false false false false false false false X 10 10 false true false false false true false true true false false true true true true true true true true false X SOUTHERN BENEFIT ADMINISTRATORS 6158590131 2001 CALDWELL DRIVE GOODLETTSVILLE TN 37072 X JASON BILLINGS TRUSTEE 2.00 X 0 0 0 JEFFREY BRITT TRUSTEE 2.00 X 0 0 0 BRIAN COPHAM TRUSTEE 2.00 X 0 0 0 RYAN R GUTWALD TRUSTEE 2.00 X 0 0 0 MARK MAHER JR TRUSTEE 2.00 X 0 0 0 ROBERT MOODY TRUSTEE 2.00 X 0 0 0 MIKE MORAIN TRUSTEE 2.00 X 0 0 0 TRAVIS SIMMONS CHAIRMAN 2.00 X 0 0 0 DENNIS K TAYLOR SECRETARY 2.00 X 0 0 0 MARK TEMPLETON TRUSTEE 2.00 X 0 0 0 false false false BCBS OF GA - ANTHEM 3350 PEACHTREE RD NE ATLANTA GA 30326 PPO 1401004 SOUTHERN BENEFIT ADMINISTRATORS PO BOX 1449 GOODLETTSVILLE TN 370701449 PLAN ADMINISTRA 705616 SWIFTMD 101 LINDENWOOD DRIVE MALVERN PA 19355 TELE-MEDICINE 120267 MORGAN STANLEY ONE TENTH ST STE 600 AUGUSTA GA 30901 INVESTMENT MGMT 114349 4 EMPLOYER CONTRIBUTIONS 34202179 34202179 EMPLOYEE CONTRIBUTIONS 1393160 1393160 35595339 2252843 2252843 5090128 5115442 -25314 -25314 -25314 FORMULARY REBATES 2095445 2095445 SUBROGATION REFUNDS 177716 177716 EXPERIENCE CREDIT ADVANTAGE 43575 43575 27741 27741 2344477 40167345 37939816 2227529 31174945 17129 684000 48790 18925 114349 2104068 29421 30197 459490 PCORI FEE 18164 FIDUCIARY LIABILITY INSUR 6576 BANK SERVICE CHARGES 3459 IRS ELECTRONIC FILING FEE 599 1140 34711252 0 0 0 1251914 4724600 252540 2976651 3597235 3492411 16589 79104 16897568 16279600 22015846 27552366 294119 374546 294119 374546 X 21721727 27177820 21721727 27177820 22015846 27552366 5456093 X false true X true false X 40167345 40167345 40167345 34711252 34711252 34711252 SCHEDULE D, PAGE 3, PART X ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINABLE 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. FORM 990, PAGE 6, PART VI, LINE 3 SOUTHERN BENEFIT ADMINISTRATORS, INC. FORM 990, PAGE 6, PART VI, LINE 7A EMPLOYER TRUSTEES ARE APPOINTED BY THE EMPLOYER ASSOCIATION WHILE UNION TRUSTEES ARE APPOINTED BY IUOE LOCAL UNIONS NO. 406, 450, 470, 673 AND 926 AND ANY OTHER LOCAL UNION THAT MAY BECOME A PARTY TO THE AGREEMENT AND DECLARATION OF TRUST. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES. IT IS THEN SIGNED AND FILED. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICTS OF INTEREST ARE REVIEWED CONTINUALLY AND ANY ISSUES THAT ARISE ARE HANDLED AT REGULAR BOARD MEETINGS. FORM 990, PAGE 6, PART VI, LINE 15A THE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 15B THE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. ALL COMMUNICATIONS INCLUDE REFERENCE TO DOCUMENTS BEING AVAILABLE UPON REQUEST. 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