Liabilities / Assets
93rd percentile
Higher debt load relative to assets than 93% of similar nonprofits.
990 • Fiscal year 2021 • EIN 35-1899607
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
93rd percentile
Higher debt load relative to assets than 93% of similar nonprofits.
Liabilities / Revenue
93rd percentile
Higher debt load relative to revenue than 93% of similar nonprofits.
Net Margin
53rd percentile
Higher net margin than 53% of similar nonprofits.
Top Officer Pay
43rd percentile
Higher top officer pay than 43% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
58th percentile
Faster asset growth than 58% of similar nonprofits.
Revenue Growth
70th percentile
Faster revenue growth than 70% of similar nonprofits.
Assets
Up$30,185,686
Up $3,146,072 (+12%) from 2020
Net Assets
Up$11,535,564
Up $2,418,124 (+27%) from 2020
Liabilities
Up$18,650,122
Up $727,948 (+4.1%) from 2020
Revenue
Up$33,263,600
Up $3,839,605 (+13%) from 2020
Expenses
Up$30,512,624
Up $1,625,958 (+5.6%) from 2020
Net Income
Up$2,750,976
Up $2,213,647 (+412%) from 2020
To provide health and welfare benefits to participants.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $16,700,067 | $22,368,749 | ▲ $5,668,682 |
| Rtn Earn Endowment Incm Other Fnds | $9,117,440 | $11,535,564 | ▲ $2,418,124 |
| Cash and Non-Interest-Bearing Accounts | $6,644,162 | $4,016,433 | ▼ $2,627,729 |
| Accounts Receivable | $3,105,154 | $2,961,721 | ▼ $143,433 |
| Prepaid Expenses and Deferred Charges | $262,589 | $351,864 | ▲ $89,275 |
| Savings and Temporary Cash Investments | $163,137 | $328,490 | ▲ $165,353 |
| Land, Buildings, and Equipment, Net | $164,505 | $158,429 | ▼ $6,076 |
| Total Assets | $27,039,614 | $30,185,686 | ▲ $3,146,072 |
| Liabilities | |||
| Other Liabilities | $17,608,847 | $18,413,350 | ▲ $804,503 |
| Accounts Payable and Accrued Expenses | $313,327 | $236,772 | ▼ $76,555 |
| Total Liabilities | $17,922,174 | $18,650,122 | ▲ $727,948 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $9,117,440 | $11,535,564 | ▲ $2,418,124 |
| Total Liabilities and Net Assets / Fund Balance | $27,039,614 | $30,185,686 | ▲ $3,146,072 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $153,087 | $24,647 | $177,734 |
| Equipment | $5,342 | $7,798 | $13,140 |
| Name | Title |
|---|---|
| Greg Fuller | Chairman |
| Jack Neal | Trustee |
| John Rayburn | Trustee |
| Michael Russell | Trustee |
| Robert Stieneker | Trustee |
| Donald Bough | Secretary/tr |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Activate Healthcare | Clinic Services | 5550 S EAST ST, SUITE 100, Indianapolis, IN 46227 | $1,033,304 |
| Labor First | Medicare Drug | 1000 MIDLANTIC DR, Mount Laurel, NJ 08054 | $878,103 |
| Anthem Blue Cross And Blue Shield | Ppo Fees | 220 VIRGINIA AVENUE, Indianapolis, IN 46204 | $780,005 |
| Stewart C Miller & Company INC | Administrative | 3440 KOSSUTH STREET, Lafayette, IN 47903 | $607,573 |
| United Healthcare Insurance | Medicare Drug | 4316 RICE LAKE RD, Duluth, MN 55811 | $569,259 |
| Line Item | Amount |
|---|---|
| Other Expenses | $1,693,355 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | - | - | - | $28,819,269 |
| Office Expenses | - | - | - | $90,022 |
| Fees for Service Investment Mgmnt Fees | - | - | - | $57,683 |
| Fees for Services Other | - | - | - | $44,167 |
| Fees for Services Legal | - | - | - | $39,616 |
| Information Technology | - | - | - | $15,000 |
| Fees for Services Accounting | - | - | - | $12,667 |
| Other Expenses | - | - | - | $11,753 |
| Insurance | - | - | - | $6,779 |
| Depreciation Depletion | - | - | - | $6,076 |
| Conferences and Meetings | - | - | - | $1,461 |
| Total Functional Expenses | $0 | $0 | $0 | $30,512,624 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $30,512,624 |
| Expenses per Audited Statements | $30,454,941 |
| Total Expenses per Audited Statements | $30,454,941 |
| Expenses Not Reported on Financial Statements | $57,683 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Accumulated Eligibility Credits | $12,414,000 |
| Claims Incurred But Not Reported | $5,618,651 |
| Medical Claims Payable | $307,349 |
| Prescription Drug Payable | $73,350 |
“Section b: lines 13 and 14 - policy the board of trustees and the plan conform with erisa rules and regulations with regards to the written whistleblower policy and document retention and destruction policy.”
“The board of trustees has outsourced the day to day administration of the plan to stewart c. Miller and company, inc., third party administrators.”
“Form 990 is available to each trustee prior to filing with the internal revenue service.”
“The board of trustees and plan conform with erisa rules and regulations with respect to monitoring and enforcing compliance with the conflict of interest policy.”
“The plan makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. The board of trustees and plan conform with erisa rules and regulations relating to this matter.”
“The plan obtained its latest determination letter on april 11, 1994, in which the internal revenue service stated that the plan, as then designed, was in compliance with the applicable requirements of the internal revenue code (code). The plan has been amended since receiving the determination letter. However, the plan administrator and the plan's tax counsel believe that the plan is currently designed and being operated in compliance with the applicable requirements of the code. Therefore, they believe that the plan was qualified and the related trust was tax-exempt under section 501 (c)(9) as of the financial statement date. The plan is subject to examinations for a period of three years from the date the form 5500 was filed.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 313327 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 236772 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3105154 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2961721 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 28819269 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | STEWART C MILLER CO INC |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7654478803 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3440 KOSSUTH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LAFAYETTE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 479035769 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6644162 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 4016433 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 1461 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1033304 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 878103 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 780005 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 607573 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 569259 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 5550 S EAST ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1000 MIDLANTIC DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 220 VIRGINIA AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 3440 KOSSUTH STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 4316 RICE LAKE RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | SUITE 100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MOUNT LAUREL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | LAFAYETTE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | DULUTH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NJ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 46227 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 08054 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 46204 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 47903 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 55811 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ACTIVATE HEALTHCARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | LABOR FIRST |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | ANTHEM BLUE CROSS AND BLUE SHIELD |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | STEWART C MILLER & COMPANY INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | UNITED HEALTHCARE INSURANCE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CLINIC SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICARE DRUG |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | PPO FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | ADMINISTRATIVE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICARE DRUG |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 28819269 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3253342 |
| IRS990/CYOtherExpensesAmt | 0 | 1693355 |
| IRS990/CYOtherRevenueAmt | 0 | 2323 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 30007935 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2750976 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 30512624 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 33263600 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | true |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 6076 |
| IRS990/Desc | 0 | TO PROVIDE HEALTH AND WELFARE, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, DENTAL, DISABILITY, PRESCRIPTION DRUG, AND VISION BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. |
| IRS990/DescribedInSection501c3Ind | 0 | false |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 12667 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 39616 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 44167 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 57683 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DONALD BOUGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GREG FULLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JACK NEAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JOHN RAYBURN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MICHAEL RUSSELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ROBERT STIENEKER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY/TR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1993 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 2631418 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 16667398 |
| IRS990/GrossReceiptsAmt | 0 | 47299580 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 15000 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 6779 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 621924 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 621924 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 16700067 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 22368749 |
| IRS990/IRPDocumentCnt | 0 | 312 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 32445 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 164505 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 158429 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 190874 |
| IRS990/LegalDomicileStateCd | 0 | IN |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 14035980 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9117440 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 11535564 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2631418 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 2631418 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -332852 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 90022 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherExpensesGrp/Desc | 0 | PPO/RX ADMIN FEES |
| IRS990/OtherExpensesGrp/Desc | 1 | ADMINISTRATIVE FEES |
| IRS990/OtherExpensesGrp/Desc | 2 | TRANSITIONAL REINSURANCE |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 801199 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 606932 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 11753 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 17608847 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 18413350 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 2323 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2323 |
| IRS990/OtherRevenueTotalAmt | 0 | 2323 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 262589 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 351864 |
| IRS990/PrincipalOfficerNm | 0 | DONALD BOUGH |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 525100 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 525100 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | EMPLOYER CONTRIBUTIONS |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PARTICIPANT CONTRIBUTIONS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 27835514 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 2172421 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 27835514 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 2172421 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 27265182 |
| IRS990/PYInvestmentIncomeAmt | 0 | 656956 |
| IRS990/PYOtherExpensesAmt | 0 | 1621484 |
| IRS990/PYOtherRevenueAmt | 0 | 1614 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 28765425 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 537329 |
| IRS990/PYTotalExpensesAmt | 0 | 28886666 |
| IRS990/PYTotalRevenueAmt | 0 | 29423995 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 2750976 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 9117440 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 11535564 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 163137 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 328490 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 5342 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 7798 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 13140 |
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| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 30454941 |
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| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | ACCUMULATED ELIGIBILITY CREDITS |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | CLAIMS INCURRED BUT NOT REPORTED |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | MEDICAL CLAIMS PAYABLE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 3 | PRESCRIPTION DRUG PAYABLE |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE PLAN OBTAINED ITS LATEST DETERMINATION LETTER ON APRIL 11, 1994, IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE PLAN, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE (CODE). THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN ADMINISTRATOR AND THE PLAN'S TAX COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE CODE. THEREFORE, THEY BELIEVE THAT THE PLAN WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT UNDER SECTION 501 (C)(9) AS OF THE FINANCIAL STATEMENT DATE. THE PLAN IS SUBJECT TO EXAMINATIONS FOR A PERIOD OF THREE YEARS FROM THE DATE THE FORM 5500 WAS FILED. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE D, PAGE 3, PART X |
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| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 33263600 |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | SECTION B: LINES 13 AND 14 - POLICY THE BOARD OF TRUSTEES AND THE PLAN CONFORM WITH ERISA RULES AND REGULATIONS WITH REGARDS TO THE WRITTEN WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE BOARD OF TRUSTEES HAS OUTSOURCED THE DAY TO DAY ADMINISTRATION OF THE PLAN TO STEWART C. MILLER AND COMPANY, INC., THIRD PARTY ADMINISTRATORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | FORM 990 IS AVAILABLE TO EACH TRUSTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE BOARD OF TRUSTEES AND PLAN CONFORM WITH ERISA RULES AND REGULATIONS WITH RESPECT TO MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE BOARD OF TRUSTEES AND PLAN CONFORM WITH ERISA RULES AND REGULATIONS RELATING TO THIS MATTER. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PAGE 6, PART VI, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PAGE 6, PART VI, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PAGE 6, PART VI, LINE 19 |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 21 | N/A |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 23 | N/A |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 29 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 30 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 31 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 32 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 33 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 34 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 35 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 36 | N/A |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 40 | N/A |
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Displayed year
2021 • Form 990Detailed filing. Detailed filing data is available for this year.