2016-10-26T15:35:10-05:00 2016-06-30 390859910 Baker Tilly Virchow Krause LLP 777 E Wisconsin Avenue 32nd Floor Milwaukee WI 53202 990 2015-07-01 320086947 WAICU Benefits Consortium Inc WAIC 6082567761 122 W Washington Ave No 700 Madison WI 53703 Rolf Wegenke President 6082567761 2016-10-19 1 Troy Marine CPA P00187863 4147775500 2016-10-10 2015 2017-02-10 21:41:12Z Rolf Wegenke 122 W Washington Ave No 700 Madison WI 53703 29756979 0 X N/A X 2003 WI WAICU BENEFITS CONSORTIUM, INC. WAS ORGANIZED TO ESTABLISH AND MAINTAIN A HEALTH AND WELFARE PLAN. 9 9 0 14 0 0 0 0 24055235 22752890 432817 422361 0 0 24488052 23175251 0 0 22818320 20176979 0 0 0 0 0 2180100 2074335 24998420 22251314 -510368 923937 9897479 10386740 166243 92659 9731236 10294081 X WAICU Benefits Consortium, Inc. was organized to establish and maintain a health and welfare plan for the payment of life, sick, accident, and similar benefits constituting an "Employee Welfare Benefit Plan" within the meaning of the Employee Retirement Income Security Act of 1974. The plan is maintained for the benefit of employees of various college and university members of WAICU. 0 0 WAICU Benefits Consortium, Inc. was organized to establish and maintain a health and welfare plan for the payment of life, sick, accident, and similar benefits constituting an "Employee Welfare Benefit Plan" within the meaning of the Employee Retirement Income Security Act of 1974. The plan is maintained for the benefit of employees of various college and university members of WAICU. 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 1 0 0 1 3 0 1 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Liza Simon 6082567761 122 W Washington Ave No 700 Madison WI 53703 X Paul Skoraczewski Director 1.00 X 0 0 0 Brenda Jones Director 1.00 X 0 0 0 Kevin Morin Director 1.00 X 0 0 0 JAMES OPPERMANN Director 1.00 X 0 0 0 Michael Hoffman Director 1.00 X 0 0 0 Carole Robertson Director 1.00 X 0 0 0 Amanda Duval Director 1.00 X 0 0 0 Beth Wnuk Director 1.00 X 0 0 0 Karl Ivan Solibakke Director 1.00 X 0 0 0 Rolf Wegenke President 2.00 X 0 0 0 Rodney L Opsal Secretary/Treasurer 12.00 X 0 0 0 0 0 0 0 0 0 0 Caremark 445 Great Circle Road Nashville TN 37228 Prescription Benefit Mgr 3789584 UMR 115 Wausau Avenue Wausau WI 54401 Third Party Administrator 2606513 Community Coordinated Healthcare 7450 Huntington Park Dr Ste 100 Columbus OH 43235 Third party Administrator 504120 WAICU 122 W Washington Ave Suite 700 Madison WI 53703 Administration 387081 4 Plan Contributions 525100 22752890 22752890 22752890 223231 223231 6780858 6581728 199130 199130 199130 23175251 22752890 0 422361 20176979 402729 15215 20750 37416 94365 Community Coordinated H 507132 Third Party Administrat 497666 PPO Network Fees 339838 License & Fees 150172 9052 22251314 1160553 980691 310769 311705 233506 437477 8192651 8656867 9897479 10386740 60373 50500 105870 42159 166243 92659 X 9731236 10294081 9731236 10294081 9897479 10386740 923937 -361092 0 X X 0 1 X 1 0 0 Accrued Income 42159 42159 X 22814159 -361092 -361092 23175251 0 23175251 22251314 0 22251314 0 22251314 Part X, Line 2: THE PLAN OBTAINED ITS LATEST DETERMINATION LETTER ON NOVEMBER 12, 2004, IN WHICH THE INTERNAL REVENUE SERVICE ("IRS") STATED THAT THE PLAN, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE ("IRC") AND WAS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE IRC AS A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION. THE PLAN IS REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN ITS QUALIFICATION. THE PLAN HAS BEEN AMENDED SUBSEQUENT TO THE DATE OF THE PLAN'S EXCEPTION LETTER; HOWEVER, THE PLAN ADMINSTRATOR IS NOT AWARE OF ANY EVENTS THAT HAVE OCCURRED THAT MIGHT ADVERSELY AFFECT THE PLAN'S QUALIFIED STATUS. U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN. THE FINANCIAL STATEMENTS EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINSTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE PLAN HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVE THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX RETURNS FILED IN YEARS PRIOR TO 2012. Form 990, Part VI, Section B, line 11 The draft of the 990 is e-mailed to the finance committee prior to a meeting with the auditing firm. At this meeting, the finance committee is given the opportunity to discuss and pose questions to the auditors. Any changes are made and the report is resubmitted to the committee. When the committee agrees to the report, the report is e-mailed to the full board as part of the fall board meeting packet. The board of directors is asked to vote to accept the filing of the form at the fall board meeting. Form 990, Part VI, Section B, line 12c The board of directors and all essential WAICU Benefits Consortium, Inc. personnel are required to complete annual conflict of interest forms. Personal or financial relationships with vendors or potential vendors will be disclosed to the board and president. The president and the board will take prompt affirmative steps to eliminate any conflict. No conflicts of interest have occurred in the past. Form 990, Part VI, Section B, line 15 The executive director and officers of WAICU Benefits Consortium, Inc. are compensated by the unrelated but affiliated organization, WIsconsin Association of Independent Colleges and Universities, Inc. (WAICU). WAICU has processes for determining the compensation of these persons that include an annual review and approval by independent persons, reference to comparability data, and contemporaneous substantiation of the deliberation and decision. Form 990, Part VI, Section C, line 19 The WAICU Benefits Consortium, Inc. does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990, Part XII, Line 2c: No change from prior year. Mount Mary University 2900 N Menomonee River Parkway Milwaukee WI 532224597 390806154 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Ripon College PO Box 248 Ripon WI 54971 390826049 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Marian University 45 S National Avenue Fond du Lac WI 549354699 391024723 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Milwaukee School of Engineering 1025 N Broadway Milwaukee WI 532023109 390477970 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Milwaukee Institute of Art & Design 273 E Erie Street Milwaukee WI 532026003 391201561 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Lakeland College PO Box 359 Sheboygan WI 530820359 390821861 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Cardinal Stritch Unversity 6801 N Yates Road Milwaukee WI 53217 390806196 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Northland College 1411 Ellis Avenue Ashland WI 54806 390806428 secondary educational institution WI 501(c)(3) Line 2 N/A 0 Alverno College 3400 S 43rd Street Milwaukee WI 532343922 390806263 secondary educational institution WI 501(c)(3) Line 2 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Mount Mary Unversity B 1411351 FMV Ripon College B 1647560 FMV Marian Unversity B 1617991 FMV Milwaukee School of Engineering B 4664485 FMV Lakeland College B 1445377 FMV Cardinal Stritch Unversity B 1448854 FMV Northland College B 883865 FMV Alverno College B 2379779 FMV Milwaukee Institute of Art & Design B 891019 FMV