2017-11-15T12:43:29-06:00 2016-12-31 611191655 Strothman & Company PSC 325 W Main St Suite 1600 Louisville KY 402024251 990 2016-01-01 611270625 Kentucky Bankers Association Health and Welfare Benefit Trust KENT 5025822453 600 West Main Street No 400 Louisville KY 40202 Matt Vance CFO 5025822453 2017-11-14 1 William G Carroll P00174525 5025851600 69.64.8.50 2017-11-14 09:25:07 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F9CC0405DDA8A0CFD513C19118D9D926552721BB 2016 2017-02-10 21:41:12Z Matt Vance 600 West Main Street No 400 Louisville KY 40202 27449645 0 X www.kybanks.com X 1996 KY Provide Healthcare benefits to eligible employees and their eligible spouses/dependents. 3 3 0 0 0 0 0 0 28115899 27397777 62883 51868 0 0 28178782 27449645 0 0 26405369 26988078 0 0 0 0 0 584155 625988 26989524 27614066 1189258 -164421 6616717 6823084 3499227 3882153 3117490 2940931 To provide health coverage to Participating Employers and their respective employees. 0 0 27614066 27397777 The KBA Health & Welfare Benefit Trust is a Multiple Employer Welfare Arrangement formed to provide health and welfare benefits to employees of unrelated employers. As of December 31, 2016, there were approximately 103 KY-based employers participating in this VEBA. 27614066 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 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 3 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 KY X Matthew Vance 5025822453 600 W Main Street Ste 400 Louisville KY 40202 X Neil S Bryan PEC Member 0.00 X 0 0 0 Ballard W Cassady Jr PEC Member 0.00 X 0 0 0 W Fred Brashear PEC Chairman 0.00 X 0 0 0 0 0 0 0 0 0 0 UMR 333 West Vine Street Lexington KY 40507 Premium Billing & Enrollment 231102 Mercer Health & Benefit LLC PO Box 905234 Charlotte NC 28290 Actuarial Services 123773 2 Employer Premium 525100 27397777 27397777 27397777 51868 51868 27449645 27397777 0 51868 26988078 26988078 26693 26693 14000 14000 204814 204814 10819 10819 Administrative Fees 369662 369662 27614066 27614066 0 0 2488145 2271636 1897609 2405315 16042 9302 2051956 1581079 162965 555752 6616717 6823084 2778409 2930627 720818 951526 3499227 3882153 X 0 0 0 0 3117490 2940931 3117490 2940931 6616717 6823084 -164421 -12138 0 X X 0 1 X 1 0 0 Pharmacy Rebates Receivables 555752 555752 27437507 -12138 -12138 27449645 0 27449645 27614066 0 27614066 0 27614066 Form 990, Part VI, Section A, line 6 The organization has Participating Members - banks and other organizations that the trust provides health benefits to. Form 990, Part VI, Section A, line 7a The organization has Participating Members - banks and other organizations that the trust provides health benefits to that elect officials. Form 990, Part VI, Section A, line 7b The organization has Participating Members - banks and other organizations that the trust provides health benefits to. Form 990, Part VI, Section A, line 8b There are no committees, other than the governing body. Form 990, Part VI, Section B, line 11b Form 990 is sent to and reviewed by the governing body prior to being filed. Form 990, Part VI, Section B, line 12c The governing body is questioned on an annual basis. Form 990, Part VI, Section C, line 19 Forms are available upon request. Part XII, Line 2c The process has not changed from prior year.