2024-11-14T13:48:39-06:00 2023-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2023-01-01 811268907 OHIO FARM BUREAU HEALTH BENEFITS PLAN TRUST OHIO 6142492400 280 NORTH HIGH STREET 6TH FLOOR COLUMBUS OH 43215 DAN RAPP PLAN ADMINISTRATOR 6142462400 2024-11-14 1 0 CHRISTOPHER B ANDERSON P00226559 2163630100 2023 2024-10-15 13:58:12Z MICHAEL BAILEY 280 NORTH HIGH STREET 6TH FLOOR COLUMBUS OH 43215 18701177 0 X N/A X 2015 OH THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 7 7 0 0 86625 84261 0 0 15669854 18614552 13413 86625 0 0 15683267 18701177 0 0 14407324 17080888 0 0 0 0 0 1356261 1581222 15763585 18662110 -80318 39067 4138686 4749760 3510575 4082582 628111 667178 THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 0 0 ALL FUNDS ARE SPENT TO ACCOMPLISH THE TRUST'S ONLY PURPOSE WHICH IS DESCRIBED IN LINE 1 ABOVE. 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 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAN RAPP 6142492400 280 NHIGH ST 6TH FL COLUMBUS OH 43215 X BILL PATTERSON TRUSTEE/TREASURER 1.00 X 0 0 0 BILL GRULICH TRUSTEE 1.00 X 0 0 0 CHRIS WEAVER TRUSTEE 1.00 X 0 0 0 GREG DIESTCH TRUSTEE 1.00 X 0 0 0 MIKE BOYERT TRUSTEE 1.00 X 0 0 0 MICHAEL BAILEY TRUSTEE/CHAIRPERSON 1.00 X 0 0 0 STACY IRWIN TRUSTEE 1.00 X 0 0 0 DAN RAPP PLAN ADMINISTRATOR 1.00 X 0 0 0 0 0 0 0 0 0 0 COMMUNITY INSURANCE COMPANY 1351 WILLIAM HOWARD TAFT RD CINCINNATI OH 45206 ADMINISTRATIVE SERVICES 1267938 CONSOLIPLEX AGRICULTURE 9555 ROCKSIDE RD 300-C CLEVELAND OH 44125 CONTRACT MANAGEMENT 137067 2 EMPLOYERS' CONTRIB. 525100 18614552 18614552 18614552 86625 86625 18701177 18614552 86625 0 17080888 1436345 44000 2176 5885 7301 REGULATORY FEES 55516 INCOME TAX 29999 18662110 200000 0 1859439 2966532 3365 9963 2075882 1773265 4138686 4749760 18382 66327 3492193 4016255 3510575 4082582 X 628111 667178 628111 667178 4138686 4749760 39067 0 X 0 1 X 1 0 0 REINSURANCE RECEIVABLE 1773265 1773265 NET REINSURANCE PAYABLE 4016255 4016255 X 18701177 0 18701177 0 18701177 18662110 0 18662110 0 18662110 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 DECEMBER 31, 2023, 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. 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 THE PARTICIPATING EMPLOYERS IN THE PLAN, ELECT THE TRUSTEES IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS. THE OPERATING COMMITTEE COMPOSED OF TRUSTEES GOVERNS THE PLAN. THE TRUSTEES SERVE THREE-YEAR STAGGERED TERMS. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 - WITH THE ASSISTANCE OF THE OUTSIDE PUBLIC ACCOUNTING FIRM, FORM 990 IS REVIEWED IN DETAIL BY THE TRUSTEES. AFTER THIS REVIEW, THE CHAIR AND TRUSTEE SIGNS AND SUBMITS THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY - EACH TRUSTEE AT THE BEGINNING OF EACH YEAR MUST REPORT WHETHER HE/SHE HAS ANY INTEREST IN ANY PARTY DOING BUSINESS WITH THE TRUST. THIS IS DONE ON THE TRUSTEE CODE OF CONDUCT STATEMENT. THE CASH MANAGEMENT SYSTEM DOES NOT ALLOW FOR ACH DISBURSEMENTS TO OFFICERS, DIRECTORS, AND TRUSTEES. THE PROCEDURE FOR CUTTING CHECKS REQUIRES SIGNOFF BY ALL TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS - ALL DOCUMENTS ARE AVAILABLE UPON REQUEST BY ANY PARTICIPATING BANK OR INDIVIDUAL PLAN PARTICIPANT. NOTICES ARE SENT TO INTERESTED PARTIES WHEN THE ANNUAL REPORTS ARE COMPLETE. 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