2023-11-13T10:37:54-06:00 2022-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2022-01-01 831289985 GEORGIA CHAMBER FEDERATION BENEFIT PLAN TRUST GEOR 4042232264 270 PEACHTREE STREET NW ATLANTA GA 30303 MORGAN LAW PLAN ADMINISTRATOR/TRUSTEE 4042232264 2023-11-10 1 MORGAN LAW 999009999 0 CHRISTOPHER B ANDERSON P00226559 2163630100 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MORGAN LAW 270 PEACHTREE STREET NW ATLANTA GA 30303 319048998 0 X N/A X 2018 GA THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT WHICH WAS ESTABLISHED TO PROVIDE SELF-FUNDED MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 5 5 0 0 230571 229571 0 0 290204432 318818427 10582 230571 0 0 290215014 319048998 0 0 273017802 300397973 0 0 0 0 0 15361889 16770299 288379691 317168272 1835323 1880726 72418061 81153926 64873739 71728878 7544322 9425048 THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT WHICH WAS ESTABLISHED TO PROVIDE SELF-FUNDED MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 0 0 THE GEORGIA CHAMBER FEDERATION BENEFIT PLAN TRUST PROVIDES SELF-FUNDED HEALTH AND WELFARE BENEFITS TO PARTICIPATING EMPLOYERS AND THEIR ELIGIBLE EMPLOYEES, DEPENDENTS, AND SPOUSES. PARTICIPATING EMPLOYERS ARE REQUIRED TO BE MEMBERS IN GOOD STANDING OF THE GEORGIA CHAMBER OF COMMERCE OR A PARTICIPATING CHAMBER OF COMMERCE IN THE GEORGIA CHAMBER FEDERATION. EACH PARTICIPATING EMPLOYER SPONSORS ITS OWN BENEFIT PLAN. 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1 1 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X SAMUEL L GUDE III 4042232264 270 PEACHTREE ST NW ATLANTA GA 30303 X JIM CHASTEEN CHAIR 1.00 X 0 0 0 MORGAN LAW PLAN ADMINISTRATOR/TRUSTEE 1.00 X 0 0 0 BENJAMIN J TARBUTTON III TRUSTEE 1.00 X 0 0 0 SAMUEL L GUDE III TRUSTEE 1.00 X 0 0 0 HANNAH M WEISS TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD HEALTHCARE PLAN O 3350 PEACHTREE RD ATLANTA GA 30326 ADMINISTRATIVE SERVICES 14148203 CONSOLIPLEX GEORGIA AGRICULTURE LLC 9555 ROCKSIDE RD STE 300-C CLEVELAND OH 44125 PLAN MANAGEMENT 2192089 2 EMPLOYERS' CONTRIB. 525100 318818427 318818427 318818427 230571 230571 319048998 318818427 230571 0 300397973 16361337 56785 739 23597 REGULATORY FEES 244680 FEDERAL INCOME TAX 83161 317168272 35174718 32808316 765383 15723603 191 3381 0 1609 0 95990 36477769 32521027 72418061 81153926 112762 247404 64760977 71481474 64873739 71728878 X 7544322 9425048 7544322 9425048 72418061 81153926 1880726 0 X 0 1 X 1 0 0 REINSURANCE RECEIVABLE 32521027 32521027 NET REINSURANCE PAYABLE 71481474 71481474 X 319048998 0 319048998 0 319048998 317168272 0 317168272 0 317168272 PART X, LINE 2: FIN 48/ASC 740 FOOTNOTE: THE TRUST'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE TRUST AND HAS CONCLUDED THAT, AS OF MARCH 31, 2022 (THE YEAR-END OF THE ERISA WELFARE PLAN FOR WHICH THE FINANCIAL STATEMENTS WERE PREPARED), 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 TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PARTS XI AND XII - ADDITIONAL INFO.ABOUT FIN.STATEMENTS: AS FURTHER EXPLAINED ON SCHEDULE O, THE TRUST HAS AUDITED FINANCIAL STATEMENTS ISSUED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE WELFARE PLAN'S YEAR ENDED MARCH 31. THE TRUST ALSO HAS AUDITED FINANCIAL STATEMENTS ISSUED ON THE BASIS OF INSURANCE STATUTORY ACCOUNTING FOR THE CALENDAR YEAR. THE INFORMATION PRESENTED IN PARTS XI AND XII IS AS IF THE TRUST HAD AUDITED GAAP FINANCIAL STATEMENTS FOR THE CALENDAR YEAR. PART IV, LINE 12A - FINANCIAL STATEMENTS: THE TRUST HAS AUDITED FINANCIAL STATEMENTS UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP), BUT THE FINANCIAL STATEMENTS ARE PRESENTED ON THE BASIS OF THE ERISA WELFARE PLAN'S YEAR-END OF MARCH 31, 2022. AN INSURANCE ENTITY LIKE THIS MULTIPLE EMPLOYER WELFARE ARRANGEMENT IS GENERALLY REQUIRED TO UTILIZE A CALENDAR YEAR FOR STATUTORY ACCOUNTING PURPORSES. THE TRUST HAS BOTH AN ERISA AND A STATUTORY AUDIT CONDUCTED ANNUALLY. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION - THE MEMBERS OF THE ORGANIZATION ARE THE PARTICIPATING EMPLOYERS IN THE MULTIPLE EMPLOYER WELFARE ARRANGEMENT. FORM 990, PART VI, SECTION A, LINE 7A POWERS OF THE MEMBERS - THE MEMBERS, WHO ARE PARTICIPATING EMPLOYERS IN THE ARRANGEMENT, ELECT THE TRUSTEES IN ACCORDANCE WITH THE BYLAWS OF THE ARRANGEMENT. THE BOARD OF TRUSTEES GOVERNS THE ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 - THE OUTSIDE PUBLIC ACCOUNTING FIRM REVIEWS THE DRAFT OF FORM 990 PROVIDED BY THE PLAN MANAGER AND REPORTS TO THE ARRANGEMENT'S TRUSTEES. AFTER REVIEW AND APPROVAL BY THE TRUSTEES, FORM 990 IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY - EACH TRUSTEE MUST REPORT WHETHER HE/SHE HAS ANY INTEREST IN ANY PARTY DOING BUSINESS WITH THE TRUST. THE TRUSTEE CODE OF CONDUCT IS SIGNED BY EACH TRUSTEE. THE CASH MANAGEMENT SYSTEM DOES NOT ALLOW FOR ACH DISBURSEMENTS OF PLAN ASSETS TO TRUSTEES OR FIDUCIARIES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS - THE TRUST'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO ANY PARTICIPATING BANK OR INDIVIDUAL PLAN PARTICIPANT. NOTICES ARE SENT TO INTERESTED PARTIES WHEN THE ANNUAL REPORTS ARE COMPLETE. 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