2013-10-22T17:18:05-05:00 2013-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2012-07-01 320086947 WAICU BENEFITS CONSORTIUM INC WAIC 6082567761 122 W WASHINGTON AVE NO 700 MADISON WI 53703 ROLF WEGENKE 6082567761 2013-10-22 1 TROY E MARINE CPA P00187863 4147775500 2013-10-22 2012 2016-02-24 21:20:13Z ROLF WEGENKE 122 W WASHINGTON AVE NO 700 MADISON WI 53703 26704825 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 11 0 0 0 0 24869758 23053614 269974 307137 0 0 25139732 23360751 0 0 21955111 22245893 0 0 0 0 0 1720066 1762204 23675177 24008097 1464555 -647346 12426341 11895611 37655 31965 12388686 11863646 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 1 0 0 0 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 0 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 CATHY FLOOD 1.00 X 0 0 0 REYES GONZALEZ 1.00 X 0 0 0 PAUL SKORACZEWSKI 1.00 X 0 0 0 BRENDA JONES 1.00 X 0 0 0 KEVIN MORIN 1.00 X 0 0 0 JAMES OPPERMANN 1.00 X 0 0 0 PETER PLATTEN 1.00 X 0 0 0 TAMMY HOWARD 1.00 X 0 0 0 LORI SCHULZE 1.00 X 0 0 0 ROLF WEGENKE 2.00 X 0 0 0 RODNEY L OPSAL 12.00 X 0 0 0 0 0 0 0 0 0 0 CAREMARK 445 GREAT CIRCLE ROAD NASHVILLE TN 37228 PRESCRIPTION BENEFIT MGR 3154377 UMR 115 WAUSAU AVENUE WAUSAU WI 54401 THIRD PARTY ADMINISTRATOR 2339647 COMMUNITY COORDINATED HEALTHCARE 7450 HUNTINGTON PARK DR STE 100 COLUMBUS OH 43235 THIRD PARTY ADMINISTRATOR 469342 WAICU 122 W WASHINGTON AVE SUITE 700 MADISON WI 53703 ADMINISTRATION 369778 4 PLAN CONTRIBUTIONS 525100 23053614 23053614 23053614 270009 270009 3381202 3344074 37128 37128 37128 23360751 23053614 0 307137 22245893 369778 20070 17700 38833 84000 THIRD PARTY ADMINISTRAT 493047 COMMUNITY COORDINATED H 469342 PPO NETWORK FEES 255313 BANK FEE 14121 24008097 2008399 1075192 1481043 1519091 176207 170920 8760692 9130408 12426341 11895611 37655 31965 37655 31965 X 12388686 11863646 12388686 11863646 12426341 11895611 X -647346 122305 0 X 0 1 X 1 0 0 X 23483056 122305 122305 23360751 0 23360751 24008096 0 24008096 0 24008096 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013, 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 2009. FORM 990, PART VI, SECTION B, LINE 11 THE DRAFT OF THE 990 IS E-MAILED TO THE AUDIT/FINANCE COMMITTEE PRIOR TO A MEETING WITH THE AUDITING FIRM. AT THIS MEETING, THE AUDIT/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 XI, LINE 5 NET UNREALIZED GAIN ON INVESTMENTS: $102,389