2019-10-13T11:56:49-05:00 2018-12-31 621802605 DANIELS IRWIN & AYLOR 223 MADISON STREET SUITE 112 MADISON TN 371153660 990 2018-01-01 432067325 SOUTHERN OPERATORS HEALTH FUND SOUT 6158590131 PO BOX 1449 GOODLETTSVILLE TN 370701449 TRAVIS SIMMONS CHAIRMAN 6158590131 2019-06-20 true DOUGLAS A IRWIN P01363756 6158686008 2019-10-13 75.145.51.185 2019-10-13 11:56:49 CD P FC1DB2D7C2A4C4D935F07B7B3EA02570F54DA193 FC1DB2D7C2A4C4D935F07B7B3EA02570F54DA193 2018 2019-02-21 02:37:17Z TRAVIS SIMMONS 42189039 false X X 2005 TN PROVISION OF BENEFITS TO PLAN PARTICIPANTS. 10 10 65 0 0 31988959 34101505 1414965 -385656 4769165 1350299 38173089 35066148 0 31749646 33867426 18707 20396 0 0 3042544 2822267 34810897 36710089 3362192 -1643941 23594914 22015846 229246 294119 23365668 21721727 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 1096 0 true 65 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 TRAVIS SIMMONS CHAIRMAN 2.00 X 0 0 0 DENNIS K TAYLOR SECRETARY 2.00 X 0 0 0 JASON BILLINGS TRUSTEE 2.00 X 0 0 0 JEFFREY BRITT TRUSTEE 2.00 X 0 0 0 RYAN R GUTWALD TRUSTEE 2.00 X 0 0 0 JIMMY MARSHALL 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 MARK TEMPLETON TRUSTEE 2.00 X 0 0 0 CLARENCE WIGGINS TRUSTEE 2.00 X 0 0 0 false false false BCBS OF GA - ANTHEM 3350 PEACHTREE RD NE ATLANTA GA 30326 PPO 1281345 SOUTHERN BENEFIT ADMINISTRATORS PO BOX 1449 GOODLETTSVILLE TN 370701449 PLAN ADMINISTRA 705702 SWIFTMD 101 LINDENWOOD DRIVE MALVERN PA 19355 TELE-MEDICINE 136952 MORGAN STANLEY ONE TENTH ST STE 600 AUGUSTA GA 30901 INVESTMENT MGMT 113538 4 EMPLOYER CONTRIBUTIONS 32802456 32802456 EMPLOYEE CONTRIBUTIONS 1299049 1299049 34101505 -318592 -318592 7055827 7122891 -67064 -67064 -67064 FORMULARY REBATES 1163988 1163988 SUBROGATION REFUNDS 96219 96219 STOP LOSS REIMBURSEMENTS 69895 69895 20197 20197 1350299 35066148 35451804 -385656 33867426 20396 684000 37071 22535 113538 1439847 28083 32252 435749 PCORI FEE 17067 FIDUCIARY LIABILITY INSUR 6527 BANK SERVICE CHARGES 4074 FOREIGN TAXES WITHHELD 534 990 36710089 0 0 0 1169766 1251914 278245 252540 4273003 3597235 18129 16589 17855771 16897568 23594914 22015846 229246 294119 229246 294119 X 23365668 21721727 23365668 21721727 23594914 22015846 -1643941 X false true X true false X 35066148 35066148 35066148 36710089 36710089 36710089 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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