2016-10-31T07:47:50-05:00 2015-12-31 454084437 Warren Averett LLC Six Concourse Parkway Suite 600 Atlanta GA 30328 990 2015-01-01 621217327 Housing Benefits Plan c/o John Pope Housing Solutions Alliance HOUS 8002887623 8610 King George Drive Dallas TX 75235 Don Alexander Board Chair 8002887623 2016-10-13 1 Susan Hill P00846200 7703961100 2016-10-13 2015 2017-02-10 21:41:12Z Don Alexander 8610 King George Drive Dallas TX 75235 15954246 0 X N/A X 1984 GA Provide health benefits, life insurance coverage, long-term disability benefits, vision care and death benefits to participants, their beneficiaries and covered dependents. 8 0 0 0 0 0 0 0 13578271 15755235 204970 199011 0 0 13783241 15954246 0 0 0 0 0 0 0 0 0 12432834 17394945 12432834 17394945 1350407 -1440699 18051264 17589848 3720514 4803304 14330750 12786544 X The Purpose of the Plan shall be to provide medical and other benefits permissable under Section 501(c)(9) of the Internal Revenue Code of 1986, as amended ("Code") to those employees (and their dependents and beneficiaries) of member local housing authorities, redevelopment agencies and of the Plan ("Employer") which voluntarily elect to participate in the Plan. 0 0 See Schedule OProvision of health benefits (medical, hospital, surgical, major medical and dental), life insurance coverage, long-term disability benefits, vision care and dental benefits to participants, their beneficiaries and covered dependents. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 GA X John Pope Housing Solutions Alliance 2143587551 8610 King George Drive Dallas TX 75235 X L Thomas Rowe Board Member 0.00 X 0 0 0 Shaundra Clark Board Member 0.00 X 0 0 0 Dan McCarthy Board Member 0.00 X 0 0 0 Katie Anderson Board Member 0.00 X 0 0 0 Belinda Snow Board Member 0.00 X 0 0 0 Don Alexander Board Chair 0.00 X 0 0 0 Jack McCord Board Vice-Chair 0.00 X 0 0 0 Burnetta Smith Board Member 0.00 X 0 0 0 0 0 0 0 0 0 0 Professional Benefits Administrators PO Box 4687 Oak Brook IL 60522 Administration 537228 Blue Cross Blue Shield of Illinois 300 East Randolph Street Chicago IL 60601 Administration 175039 Mercer 10 South Wacker Drive Suite 1700 Chicago IL 60606 Administration & Consulting 100610 3 Premium Income 524292 14960398 14960398 Premium Income Dental 524292 515643 515643 Premium Income LTD 524292 120432 120432 Premium Vision Income 524292 97801 97801 Premium Income Life 524292 60961 60961 15755235 199011 199011 15954246 15954246 0 0 6755 83050 36505 60520 7328 54212 11830 Direct Claims from Part 15480465 Administrative Fees 906493 Insurance Premuims paid 647657 Transitional Reinsuranc 84727 15403 17394945 1908764 1592276 560856 849497 15542977 15119960 38667 28115 18051264 17589848 1075056 1967716 1207746 1700514 1437712 1135074 3720514 4803304 X 0 0 0 0 14330750 12786544 14330750 12786544 18051264 17589848 -1440699 -103507 0 X 0 1 X 1 0 0 Agency bonds 7880760 F Certificates of deposit 5487773 F Treasury notes 1751427 F 15119960 Reserve for claims incurred but not reported 1135074 1135074 15792895 -103507 -103507 15896402 36505 21339 57844 15954246 16977040 0 16977040 36505 381400 417905 17394945 Part XI, Line 4b - Other Adjustments: Subrogation Settlements 21,339. Part XII, Line 4b - Other Adjustments: Change in benefit obligation 360,061. Subrogation Settlements 21,339. Form 990, Part VI, Section A, line 3 The organization delegates 3rd party claims administration duties to: Mercer Administration 2610 Northgate Drive Iowa City, Iowa 52245 Mercer's duties include: billings, premium collections, and claim payments. Form 990, Part VI, Section A, line 7a Board members are appointed by the presidents of SERC-NAHRO and SWRC-NAHRO, subject to confirmation by a majority of the members of the Executive Committees of the SERC & SWRC NAHRO organizations. Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the Board Chair and other members of the Audit Committee before the final copy is filed. Form 990, Part VI, Section C, line 19 The Organization makes its documents available upon request. Southwest Regional Council of NAHRO 2375 Rodgers Road Olney TX 76374 521610151 Training and educational activities for PHA's TX 501 (c)(3) 9 0 Southeast Regional Council of NAHRO P O Box 220 Fort Mill SC 29716 521629630 Training and educational activities for PHA's SC 501 (c)(3) 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0