THE H T HACKNEY CO EMLOYEE BENEFIT PLANS TRUST: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- THE H T HACKNEY CO EMLOYEE BENEFIT PLANS TRUST (EIN 62-1238720)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201521359349302947
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T10:13:31-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621142155 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUGH & COMPANY PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 N CEDAR BLUFF RD SUITE 200 | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 37923 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621238720 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HT HACKNEY CO VEBA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HTHA | BusinessNameControlTxt |
| Phone | 8655461291 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 S GAY STREET | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 379021503 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL MORTON | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 8655461291 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN FOARD | PreparerPersonNm |
| PTIN | P00745361 | PTIN |
| Phone | 8657690660 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL MORTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 S GAY STREET | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 379021503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,378,275 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTH CARE BENEFITS FOR THE EMPLOYEES OF THE H. T. HACKNEY CO. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,127,268 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,378,007 | CYProgramServiceRevenueAmt |
| PY Investment Income | $207 | PYInvestmentIncomeAmt |
| CY Investment Income | $268 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $21,127,475 | PYTotalRevenueAmt |
| CY Total Revenue | $22,378,275 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $18,762,611 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $16,788,249 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,364,864 | PYOtherExpensesAmt |
| CY Other Expenses | $2,813,409 | CYOtherExpensesAmt |
| PY Total Expenses | $21,127,475 | PYTotalExpensesAmt |
| CY Total Expenses | $19,601,658 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,776,617 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,013,918 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,528,630 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,013,918 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,752,013 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $0 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,776,617 | NetAssetsOrFundBalancesEOYAmt |
| Mission | NONE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,863,563 | ExpenseAmt |
| Desc | PROVIDE SELF-FUNDED HEALTH CARE BENEFITS TO EMPLOYEES & FORMER EMPLOYEES AND THEIR DEPENDENTS. CLAIMS ARE PROCESSED BY A THIRD PARTY ADMINISTRATOR AND COINSURANCE IS MAINTAINED FOR CLAIMS EXCEEDING $150,000. | Desc |
| Total Program Service Expenses | $19,863,563 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | 0 | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE MORTON | PersonNm |
| Phone | 8655461291 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 S GAY STREET | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 379021503 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (2 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Institutional TrusteeInstitutionalTrusteeInd |
|---|---|---|---|---|---|---|
| MIKE MORTON | ||||||
| COMM MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| REGIONS BANK | ||||||
| TRUSTEE/ ASSET MANAGER | 1.00 | $963 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $963 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED HEALTHCARE | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CADILLAC DRIVE - SUITE 100 | AddressLine1 |
| City | BRENTWOOD | City |
| State | TN | State |
| ZIP Code | 37027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | TO PROVIDE HEALTHCARE PAYMENTS. | ServicesDesc |
| Compensation | $993,917 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EMPLOYER | 525100 | $12,909,962 | $12,909,962 |
| EMPLOYEE | 525100 | $7,135,598 | $7,135,598 |
| COINSURANCE REIMB. | 525100 | $2,332,447 | $2,332,447 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,378,007 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $268 | TotalRevenueColumnAmt |
| Exclusion | $268 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,378,275 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,378,007 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $268 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,788,249 | TotalAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| COINSURANCE EXPENSE | $1,819,492 |
| CLAIMS ADMINISTRATION E | $993,917 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,601,658 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,375 | BOYAmt |
| EOY | $330,182 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,337,901 | BOYAmt |
| EOY | $4,198,415 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,642 | BOYAmt |
| EOY | $33 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,013,918 | BOYAmt |
| EOY | $4,528,630 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,013,918 | BOYAmt |
| EOY | $1,752,013 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,013,918 | BOYAmt |
| EOY | $1,752,013 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,776,617 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,776,617 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,013,918 | BOYAmt |
| EOY | $4,528,630 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,776,617 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $22,378,275 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,378,275 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,378,275 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,601,658 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,601,658 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,601,658 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI | STATEMENT REGARDING OVERALL GOVERNING BODY AND MANAGEMENT FUNCTIONS: THE TAXPAYER IS A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION (THE "TRUST") WHOSE SOLE PURPOSE IS TO RECEIVE CONTRIBUTIONS AND MAKE DISBURSEMENTS PURSUANT TO THE H.T. HACKNEY COMPANY FLEXIBLE BENEFITS PLAN (THE "PLAN"). THE PLAN IS A WELFARE BENEFIT PLAN SUBJECT TO ERISA THAT PROVIDES HEALTH CARE BENEFITS FOR ALL ELIGIBLE EMPLOYEES OF THE H.T. HACKNEY COMPANY (THE "SPONSOR") AND IS FUNDED IN PART BY EMPLOYEE CONTRIBUTIONS AND IN PART FROM THE GENERAL ASSETS OF SPONSOR WHOSE PAYMENTS ALSO FLOW THROUGH THE TRUST. UNITED HEALTHCARE ADMINISTERS THE PLAN. EMPLOYEE PREMIUMS ARE DEDUCTED FROM EMPLOYEE EARNINGS EACH PAYDAY AND A CHECK OR ACH FOR TOTAL EMPLOYEE PREMIUMS AND EMPLOYER CONTRIBUTIONS IS THEN FORWARDED TO THE REGIONS BANK TRUST DEPARTMENT FROM BENEFITS ADMINISTRATOR FOR CREDITING TO THE TRUST'S ACCOUNT. EMPLOYER'S CONTRIBUTION IS CALCULATED MONTHLY, BASED ON THE TARGET AMOUNT THAT IS DETERMINED ANNUALLY, AND FORWARDED TO THE TRUST DEPARTMENT, AS WELL. REGIONS BANK'S TRUST DEPARTMENT INVESTS THE FUNDS IN MONEY MARKET INSTRUMENTS. CLAIM INVOICES ARE RECEIVED FROM UNITED HEALTHCARE WEEKLY AND A REQUEST FOR FUNDS TRANSFER TO THE PLAN'S CHECKING ACCOUNT IS SUBMITTED TO THE TRUST DEPARTMENT BY THE BENEFITS ADMINISTRATOR FOR PAYMENT OF CLAIMS. THE TRUST DEPARTMENT PROVIDES MONTHLY STATEMENTS TO THE PLAN ADMINISTRATOR. PART VI CONTAINS SEVERAL QUESTIONS THAT ARE EITHER INAPPLICABLE TO THE TRUST OR THAT ARE ANSWERED DIFFERENTLY FROM OTHER TYPES OF TAX-EXEMPT ORGANIZATIONS, SPECIFICALLY: NO. 3 - THE PLAN ADMINISTRATOR HAS DELEGATED THE MANAGEMENT AND INVESTMENT OF ITS ASSETS TO THE TRUST DEPARTMENT OF REGIONS BANK. NO. 8 - ALL ACTIONS TAKEN BY THE TRUST ARE WELL DOCUMENTED BY PLAN ADMINISTRATOR AND AN OUTSIDE AGENCY BUT THERE ARE NO MEETINGS AND DOCUMENT ACTIONS WITH RESPECT TO THE TRUST. NO. 11 - THE FORM 990 IS REVIEWED BY THE BENEFITS ADMINISTRATOR AND THE CFO OR SPONSOR. NO. 12 - THE TRUST DOES NOT HAVE A WRITTEN CONFLICT OF INTEREST POLICY. UNITED HEALTHCARE FOLLOWS THE BENEFITS PLAN DOCUMENTS AND THERE ARE NO POTENTIAL CONFLICTS OF INTEREST. ANY APPEALS ARE REVIEWED BY UNITED HEALTHCARE REGARDLESS OF WHO IT IS. NO. 14 - THE SPONSOR DOES NOT HAVE AN ESTABLISHED DOCUMENT RETENTION AND DESTRUCTION POLICY. NO. 15 - THIS IS NOT APPLICABLE. THE TRUST DOES NOT HAVE EMPLOYEES AND DOES NOT COMPENSATE DIRECTLY OR INDIRECTLY ANY EMPLOYEES OF EMPLOYER. NO. 19 - THE PLAN AND THE SPONSOR PROVIDE INFORMATION TO PLAN PARTICIPANTS AS REQUIRED BY ERISA AND THE DEPARTMENT OF LABOR. THE TRUST HAS NOT MADE GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AND THE TRUST DOES NOT MAINTAIN A CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION A, LINE 8A | INCLUDED IN DISCUSSION ABOVE. |
| FORM 990, PART VI, SECTION A, LINE 8B | INCLUDED IN DISCUSSION ABOVE. |
| FORM 990, PART VI, SECTION B, LINE 11 | INCLUDED IN DISCUSSION ABOVE. |
| FORM 990, PART VI, SECTION C, LINE 19 | INCLUDED IN DISCUSSION ABOVE. |
| FORM 990, PART VII | REGIONS BANK - 151 MAJOR REYNOLDS PLACE, KNOXVILLE, TN 37919. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HT HACKNEY CO | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 SOUTH GAY STREET | AddressLine1 |
| City | KNOXVILLE | City |
| State | TN | State |
| ZIP Code | 37901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620222535 | EIN |
| Primary Activities | WHOLESALE SALES | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HT HACKNEY CO (EMPLOYER CONTRIBUTIONS) | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $12,909,962 | InvolvedAmt |
| Method Of Amount Determination | CASH - FMV | MethodOfAmountDeterminationTxt |