SCHOOL DISTRICT 1 HEALTH & WELFARE TRUST FUND: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SCHOOL DISTRICT 1 HEALTH & WELFARE TRUST FUND (EIN 93-6090239)
- Tax period
- 2010-11-01 to 2011-10-31
- Filed
- 2012-04-03
- IRS object ID
- 201230949349300218
- Schema version
- 2010v3.7
- 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) |
|---|---|---|
| Timestamp | 2012-04-03T11:30:49-05:00 | Timestamp |
| Tax Period End Date | 2011-10-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BJORKLUND & MONTPLAISIR CPA'S | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9020 SW WASHINGTON SQ RD SUITE 46 | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97223 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-11-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 936090239 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHOOL DISTRICT NO 1 HEALTH AND | BusinessNameLine1 |
| Business Name Line2 | WELFARE TRUST FUND | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SCHO | NameControl |
| Phone | 8006544411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7600 SW MOHAWK STREET | AddressLine1 |
| City | TUALATIN | City |
| State | OR | State |
| ZIP Code | 970628121 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEONARD ANDERSON | Name |
| Title | TRUSTEE/CHAIRMAN | Title |
| Phone | 8006544411 | Phone |
| Date Signed | 2012-03-31 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD A LAYNE | Name |
| Phone | 5036436400 | Phone |
| Date Prepared | 2012-03-22 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PATI PIRO-BOSLEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7600 SW MOHAWK STREET | AddressLine1 |
| City | TUALATIN | City |
| State | OR | State |
| ZIP Code | 970628121 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 68372496 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | SDTRUST.COM | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | PROVIDES MEDICAL, VISION, DENTAL, PRESCRIPTION, SUPPLEMENTAL INCOME, DEATH AND VOLUNTARY ACCIDENT BENEFITS TO PARTICIPANTS ON WHOSE BEHALF THE SCHOOL DISTRICT CONTRIBUTES TO THE PLAN IN ACCORDANCE WITH THE COLLECTIVE BARGAINING AGREEMENTS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 65405351 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 67224514 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 237512 | InvestmentIncomePriorYear |
| Investment Income Current Year | 199340 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 747106 | OtherRevenuePriorYear |
| Other Revenue Current Year | 948642 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 66389969 | TotalRevenuePriorYear |
| Total Revenue Current Year | 68372496 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 65789599 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 67980165 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1782351 | OtherExpensePriorYear |
| Other Expenses Current Year | 1765433 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 67571950 | TotalExpensesPriorYear |
| Total Expenses Current Year | 69745598 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1181981 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1373102 | RevenuesLessExpensesCY |
| Total Assets BOY | 16097462 | TotalAssetsBOY |
| Total Assets EOY | 15043937 | TotalAssetsEOY |
| Total Liabilities BOY | 7856197 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8069378 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8241265 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6974559 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDES MEDICAL, VISION, DENTAL, PRESCRIPTION, SUPPLEMENTAL INCOME, DEATH AND VOLUNTARY ACCIDENT BENEFITS TO PARTICIPANTS ON WHOSE BEHALF THE SCHOOL DISTRICT CONTRIBUTES TO THE PLAN IN ACCORDANCE WITH THE COLLECTIVE BARGAINING AGREEMENTS | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Description | PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. | Description |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 1819 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASSOCIATED THIRD PARTY ADMINISTRATO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8006544411 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7600 SW MOHAWK ST | AddressLine1 |
| City | TUALATIN | City |
| State | OR | State |
| ZIP Code | 970628121 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| LEONARD ANDERSON | ||||||
| TRUSTEE | 2.00 | X | X | 0 | 0 | 0 |
| HANK HARRIS | ||||||
| ALTERNATE TR | 2.00 | X | 0 | 0 | 0 | |
| DAVID WYNDE | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| PAM BYBEE | ||||||
| ALTERNATE TR | 2.00 | X | 0 | 0 | 0 | |
| MICHELLE RIDDELL | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| LISA NEWLYN | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| BELINDA REAGAN | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| TERRI BURTON | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| SCOTT LUCY | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| BROCK LOGAN | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| DAVID WINKLER | ||||||
| ALTERNATE TR | 2.00 | X | 0 | 0 | 0 | |
| BECKY WRIGHT | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| DEE SIMMONS | ||||||
| ALTERNATE TR | 2.00 | X | 0 | 0 | 0 | |
| MICHELLE BATTEN | ||||||
| ALTERNATE TR | 2.00 | X | 0 | 0 | 0 | |
| JACK ROY | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| RUSS PETERSON | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| GWEN SULLIVAN | ||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ASSOCIATED THIRD PARTY ADMINISTRATOR | |||||
| 7600 SW MOHAWK STREET | TUALATIN | OR | 970628121 | CONTRACT ADMIN | 855355 |
| MERCER HUMAN RESOURCE CONSULTING | |||||
| 111 SW COLUMBIA STREET | PORTLAND | OR | 97201 | CONSULTANT | 325283 |
| INNOVATIVE CARE MANAGEMENT | |||||
| 15 82ND DRIVE SUITE 180 | GLADSTONE | OR | 970272560 | CLAIMS REVIEW | 101532 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| EMPLOYER CONTRIBUTIONS | 63568608 | 63568608 |
| PARTICIPANT CONTRIBUTIONS | 3655906 | 3655906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 67224514 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 199340 | TotalRevenueColumn |
| Related Or Exempt Function Income | 199340 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| ERRP REFUND | 478949 | 478949 |
| EXPERIENCE REFUND | 456959 | 456959 |
| SETTLEMENTS | 12734 | 12734 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 948642 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68372496 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68372496 | RelatedOrExemptFunctionIncome |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67980165 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 855355 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44400 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32210 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325283 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108641 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104897 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26888 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| CLAIMS ADMINISTRATION | 126446 |
| CLAIMS COST CONTROL | 101532 |
| BANK CHARGES | 37021 |
| WEBSITE MAINTENANCE | 2760 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69745598 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3325605 | BOY |
| EOY | 1382454 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5101428 | BOY |
| EOY | 5691028 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13913 | BOY |
| EOY | 12976 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7656516 | BOY |
| EOY | 7957479 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16097462 | BOY |
| EOY | 15043937 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54024 | BOY |
| EOY | 92822 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257691 | BOY |
| EOY | 52050 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7544482 | BOY |
| EOY | 7924506 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7856197 | BOY |
| EOY | 8069378 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8241265 | BOY |
| EOY | 6974559 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8241265 | BOY |
| EOY | 6974559 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16097462 | BOY |
| EOY | 15043937 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1373102 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 106396 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INSURANCE PREMIUMS PAYABLE | $3,292,422 |
| CLAIMS INCURRED BUT NOT REPORTED | $2,772,740 |
| CLAIMS PAYABLE | $1,859,344 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7924506 | TotalOfAmounts |
| Total Revenue | 68372496 | TotalRevenue |
| Total Expenses | 69745598 | TotalExpenses |
| Excess Or Deficit For Year | -1373102 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 106396 | NetUnrealizedGLOnInvestments |
| Other | $380,024 | OtherAmount |
| Total Adjustments | 486420 | TotalAdjustments |
| Excess Or Deficit Per FS | -886682 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 68478892 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 106396 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 106396 | RevenueNotRptdF990 |
| Revenue Subtotal | 68372496 | RevenueSubtotal |
| Total Revenue Per Form990 | 68372496 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 69365574 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 69365574 | ExpensesSubtotal |
| Other Expenses Not Included | 380024 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 380024 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 69745598 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | INCREASE IN BENEFIT OBLIGATIONS 380,024 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 4B | INCREASE IN BENEFIT OBLIGATIONS 380,024 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | PROVIDES MEDICAL, VISION, DENTAL, PRESCRIPTION, SUPPLEMENTAL INCOME, DEATH AND VOLUNTARY ACCIDENT BENEFITS TO PARTICIPANTS ON WHOSE BEHALF THE SCHOOL DISTRICT CONTRIBUTES TO THE PLAN IN ACCORDANCE WITH THE COLLECTIVE BARGAINING AGREEMENTS |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | TRUSTEES REVIEW FORM 990 AND ASK QUESTIONS OF THE PREPARER PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | TRUSTEES ARE REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | NO COMPENSATION IS PAID |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | NO COMPENSATION IS PAID. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE TRUST DOCUMENT, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE TRUSTS' OFFICE AND ARE AVAILABLE UPON REQUEST. |