2012-11-13T10:15:46-06:00 2011-12-31 581729751 Metcalf Davis CPAs 3340 Peachtree Road NE Suite 2600 Atlanta GA 303261089 990 2011-01-01 621217327 Housing Benefits Plan c/o John Pope Housing Solution Alliance HOUS 8002887623 PO Box 541628 Dallas TX 75354 Marilyn Phillips 8532634442 2012-11-12 1 Susan Hill P00846200 4042641700 2012-10-10 2011 2016-02-24 21:20:13Z Marilyn Phillips PO Box 218 Graceville FL 32440 14549406 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 13183771 14065214 16477 95878 174505 388314 13374753 14549406 0 0 0 0 0 0 0 0 0 11800756 12058558 11800756 12058558 1573997 2490848 8966221 11422611 3873101 3823985 5093120 7598626 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 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 Allian 2143587551 P O Box 541628 Dallas TX 75220 X Mike Proffitt 0.00 X 0 0 0 Laura Hinchey 0.00 X 0 0 0 Jack McCord 0.00 X 0 0 0 Marilyn Phillips 0.00 X 0 0 0 Paul Pierce 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 Blue Cross Blue Shield 225 North Michigan Avenue Chicago IL 60601 Administration 269766 Professional Benefits Administrators PO Box 4687 Oak Brook IL 60522 Administration 264485 Mercer 2610 Northgate Drive Iowa City IA 52245 Administration & Consulting 250281 3 Premium Income 524292 13354444 13354444 Premium Income Dental 524292 457190 457190 Premium Income LTD 524292 131171 131171 Premium Vision Income 524292 75353 75353 Premium Income Life 524292 47056 47056 14065214 95878 95878 Stop loss reimbursemen 524298 364571 364571 Subrogation settlement 524298 20629 20629 Gain on sale of notes 524298 3114 3114 388314 14549406 14549406 0 0 97870 49682 14288 12834 10742 Direct Claims from Part 10115621 Insurance Premuims paid 837138 Administrative Fees 737581 Professional and Consul 165576 17226 12058558 7662152 779118 1198726 550506 10064325 105343 28662 8966221 11422611 1238885 885582 1170440 1167457 1463776 1770946 3873101 3823985 X 0 0 0 0 5093120 7598626 5093120 7598626 8966221 11422611 X 2490848 14658 X 0 1 1 X 0 0 Agency bonds 4984511 F Certificates of deposit 2249944 F Corportate bonds 1015948 F Foreign bond 252895 F Treasury Notes 1561027 F 10064325 Reserve for claims incurred but not reported 1630874 Due to Medicare 140072 1770946 14549406 12058558 2490848 14658 14658 2505506 14181083 14658 -18410 -3752 14184835 364571 364571 14549406 11675577 -364571 -364571 12040148 18410 18410 12058558 Description of Uncertain Tax Positions Under FIN 48: Part X: 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, 2011, 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 2008. Part XII, Line 2d - Other Adjustments: Investment fees Bank charges Part XII, Line 4b - Other Adjustments: Stop Loss Reimbursements Part XIII, Line 2d - Other Adjustments: Stop Loss Reimbursements Part XIII, Line 4b - Other Adjustments: Investment fees Bank charges Form 990, Part VI, Section A, line 3 The organization delegates 3rd party claims administration duties to: Mercer Administration P.O. Box 4542 Iowa City, IA 52244-4542 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 14,658. 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