2014-10-31T10:54:34-05:00 2014-03-31 621802605 DANIELS IRWIN & AYLOR 223 MADISON STREET SUITE 112 MADISON TN 371153660 990 2013-04-01 237100845 SOUTHEAST LABORERS HEALTH FUND SOUT 6158590131 PO BOX 1449 GOODLETTSVILLE TN 370701449 STEPHEN E FARNER CHAIRMAN 6158590131 2014-10-24 true DOUGLAS A IRWIN P01363756 6158686008 2014-10-31 2013 2015-11-30 17:44:51Z 20213349 false X X 1968 TN PROVISION OF BENEFITS TO PARTICIPANTS. 7 7 50 0 0 14537321 13821965 842458 345948 310572 324061 15690351 14491974 0 14986113 15133126 9568 8540 0 0 1527512 1394615 16523193 16536281 -832842 -2044307 16680680 15292493 9592618 10248738 7088062 5043755 PROVISION OF BENEFITS TO PARTICIPANTS. false false THE PROVISION OF HEALTH, TEMPORARY DISABILITY AND DEATH BENEFITS TO PLAN PARTICIPANTS. false false false false false false false false false false false false false false false 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 false false false true 1241 0 true 50 true false false false false false false X 7 7 true 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 GOODVETTSVILLE TN 37072 X STEPHEN E FARNER CHAIRMAN 2.00 X 0 0 0 MICHAEL B PFIEFFER SECRETARY 2.00 X 0 0 0 J DAVID BECKLER TRUSTEE 2.00 X 0 0 0 KERRY HALE TRUSTEE 2.00 X 0 0 0 F DOUGLASS STEIN TRUSTEE 2.00 X 0 0 0 GLENN FARNER TRUSTEE 2.00 X 0 0 0 DANNY C MACMILLAN TRUSTEE 2.00 X 0 0 0 false false false CIGNA TWO LIBERTY PLACE 1601 CHESTNUT ST PHILADELPHIA PA 19192 PPO 591769 SOUTHERN BENEFIT ADMINISTRATORS INC PO BOX 1449 GOODLETTSVILLE TN 370701449 ADMINISTRATION 567100 2 EMPLOYER CONTRIBUTIONS 13557404 13557404 EMPLOYEE CONTRIBUTIONS 264561 264561 13821965 438611 438611 5628712 5721375 -92663 -92663 -92663 FORMULARY REBATES 224939 224939 CLAIMS REFUNDS 63746 63746 SUBROGATION REFUNDS 31087 31087 4289 4289 324061 14491974 14146026 345948 15133126 8540 528000 16292 40518 29534 632469 4801 CONTRIBUTIONS TO LHSFNA 96392 PRINTING & MAILING 22072 BANK CHARGES 12212 FIDUCIARY LIABILITY INSUR 11683 642 16536281 0 0 0 224152 187051 2206040 1497117 1537001 1567329 1653 1011 12711834 12039985 16680680 15292493 9592618 10248738 9592618 10248738 X 7088062 5043755 7088062 5043755 16680680 15292493 -2044307 X false true X true false 14491974 14491974 14491974 16536281 16536281 16536281 FORM 990, PAGE 6, PART VI, LINE 2 SOUTHEAST LABORERS' DISTRICT COUNCI OHIO VALLEY & SOUTHERN STATES REGIO TRUSTEE CHAIRMAN BROTHERS SOUTHEAST LABORERS' DISTRICT COUNCI SOUTHEAST LABORERS' DISTRICT COUNCI TRUSTEE TRUSTEE WORK FOR SAME DISTRICT COUNCIL FORM 990, PAGE 6, PART VI, LINE 3 SOUTHERN BENEFIT ADMINISTRATORS, INC. FORM 990, PAGE 6, PART VI, LINE 7A THE UNION TRUSTEES ARE SELECTED BY THE LABOR ORGANIZATIONS PARTY TO THE AGREEMENT AND DECLARATION OF TRUST WHILE THE EMPLOYER TRUSTEES ARE SELECTED BY THE EMPLOYER ORGANIZATIONS 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 AVAILABLE UPON REQUEST. ALL MAILOUTS AND COMMUNICATIONS INCLUDE REFERENCE TO DOCUMENTS BEING AVAILABLE UPON REQUEST.