2013-10-15T13:00:31-05:00 2012-12-31 581729751 Metcalf Davis CPAs 3340 Peachtree Road NE Suite 2600 Atlanta GA 303261089 990 2012-01-01 621217327 Housing Benefits Plan c/o John Pope Housing Solutions Alliance HOUS 8002887623 8610 King George Drive Dallas TX 75235 Marilyn Phillips 8532634442 2013-10-14 1 Susan Hill P00846200 4042641700 2013-10-08 2012 2016-02-25 16:41:14Z X Marilyn Phillips PO Box 218 Graceville FL 32440 13732750 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 14065214 13410367 95878 157154 388314 165229 14549406 13732750 0 0 0 0 0 0 0 0 0 12058558 10267481 12058558 10267481 2490848 3465269 11422611 14457368 3823985 3476748 7598626 10980620 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 Provision 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 1 1 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 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 Mike Proffitt 0.00 X 0 0 0 Laura Hinchey 0.00 X 0 0 0 Dan McCarthy 0.00 X 0 0 0 Marilyn Phillips 0.00 X 0 0 0 Steve Shorts 0.00 X 0 0 0 Patsy Noland 0.00 X 0 0 0 Don Alexander 0.00 X 0 0 0 Carolynn Humphrey 0.00 X 0 0 0 0 0 0 0 0 0 0 Professional Benefits Administrators PO Box 4687 Oak Brook IL 60522 Administration 284572 Mercer 2610 Northgate Drive Iowa City IA 52245 Administration & Consulting 229206 Blue Cross Blue Shield 225 North Michigan Avenue Chicago IL 60601 Administration 139229 3 Premium Income 524292 12700459 12700459 Premium Income Dental 524292 458457 458457 Premium Income LTD 524292 123677 123677 Premium Vision Income 524292 79527 79527 Premium Income Life 524292 48247 48247 13410367 157154 157154 Stop loss reimbursements 524298 83326 83326 Subrogation settlements 524298 77725 77725 Gain on sale of notes 524298 4178 4178 165229 13732750 13732750 0 0 11585 48290 25598 32724 10742 Direct Claims from Part 8669326 Insurance Premuims paid 753238 Administrative Fees 546028 Professional and Consul 165701 4249 10267481 779118 2701078 550506 633515 10064325 11010142 28662 112633 11422611 14457368 885582 1176389 1167457 1088797 1770946 1211562 3823985 3476748 X 0 0 0 0 7598626 10980620 7598626 10980620 11422611 14457368 3465269 -83275 0 X 0 1 X 1 0 0 Agency bonds 6145561 F Certificates of deposit 2982530 F Foreign bond 251550 F Treasury notes 1630501 F 11010142 Reserve for claims incurred but not reported 1211562 1211562 X 13462826 -83275 -83275 13546101 25598 161051 186649 13732750 10381022 -161051 -161051 10542073 25598 -300190 -274592 10267481 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: Accounting principles generally accepted in the United States of America require plan management to evaluate tax positions taken by the Plan and to recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. The plan administrator has analyzed the tax positions taken by the Plan, and has concluded that as of December 31, 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however, as of the date of this report there are currently no audits for any tax periods in progress. The plan administrator believes it is no longer subject to income tax examinations for years prior to 2009. Part XI, Line 4b - Other Adjustments: Stop-loss reimbursements 83,326. Subrogation settlements 77,725. Part XII, Line 2d - Other Adjustments: Stop-loss reimbursements -83,326. Subrogation settlements -77,725. Part XII, Line 4b - Other Adjustments: Change in benefit obligation -300,190. 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 Auditing 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