2025-06-23T15:27:57-05:00 2024-09-30 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2023-10-01 566595155 NORTH CAROLINA BAR ASSOCIATION HEALTH BENEFIT TRUST NORT 9196778900 8000 WESTON PARKWAY CARY NC 27513 ELIZABETH VOLTZ TRUST CHAIR 9196778900 2025-06-23 1 0 J CALVIN MARKS P01226973 9197196400 2023 2025-03-06 01:10:19Z ELIZABETH W VOLTZ 8000 WESTON PARKWAY CARY NC 27513 65145710 0 X N/A X 2002 NC MULTIPLE EMPLOYER WELFARE ARRANGEMENT 5 5 0 0 0 0 0 0 54236424 56996213 707650 673743 3404249 5998096 58348323 63668052 0 0 50984423 58672535 6650 6650 0 0 0 5891028 5977562 56882101 64656747 1466222 -988695 28799915 28180884 5691947 5648295 23107968 22532589 THE TRUST IS A HEALTH BENEFIT PROGRAM WHEREBY AN EMPLOYEE OF A PARTICIPATING EMPLOYER, UPON EMPLOYMENT, MAY ELECT COVERAGE. 0 0 THE TRUST IS A SELF-FUNDED MULTIPLE-EMPLOYER WELFARE PLAN, OPERATED SOLELY AND EXCLUSIVELY AS A NON-PROFIT ENTITY FOR THE PURPOSE OF PROVIDING BENEFITS TO EMPLOYEES OF PARTICIPATING EMPLOYERS. THE NUMBER OF PARTICIPANTS AT 9/30/24 IS 4,613. 0 0 0 0 0 0 0 0 0 0 0 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 1 7 0 1 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X ERIN ORR 9196778900 8000 WESTON PARKWAY SUITE 200 CARY NC 27513 ELIZABETH W VOLTZ TRUST CHAIR 1.00 X X 1400 0 0 PLATO C BARWICK III TRUSTEE 1.00 X 1400 0 0 PHILLIP R MILLER III SECRETARY 1.00 X X 1400 0 0 SANDRA M CLARK TRUSTEE 1.00 X 1050 0 0 CHRISTOPHER T GRAEBE TRUSTEE 1.00 X 1050 0 0 WILLIAM STROUD TRUST MANAGER 1.00 X 0 0 0 6300 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD OF NORTH CAROLINA 5901 CHAPEL HILL RD DURHAM NC 27707 ADMINISTRATIVE SERVICES 3781173 LAWYERS INSURANCE AGENCY 8000 WESTON PKWY SUITE 200 CARY NC 27513 ADMINISTRATIVE SERVICES 2188647 BENEFITFOCUS 100 BENEFITFOCUS WAY CHARLESTON SC 29492 SOFTWARE SERVICES 274886 3 PREMIUMS EARNED 900099 56996213 56996213 56996213 844301 844301 1307100 1477658 -170558 -170558 -170558 REBATES EARNED 900099 5998096 5998096 5998096 63668052 56996213 0 6671839 58672535 6650 2070742 11073 65901 61113 3315196 37522 286641 114320 TAXES & LICENSES 15054 64656747 9444029 7115395 631834 1507113 18094035 18298307 630017 1260069 28799915 28180884 1638947 831295 4053000 4817000 5691947 5648295 X 0 0 0 0 23107968 22532589 23107968 22532589 28799915 28180884 X -988695 1124003 -710687 X 0 1 X 1 0 0 HEALTH CLAIMS LIABILITY 4817000 4817000 X 58793959 1124003 1124003 57669956 5998096 5998096 63668052 58658651 -5998096 -5998096 64656747 0 64656747 PART X, LINE 2: MANAGEMENT ANALYZED THE TAX POSITIONS TAKEN BY THE TRUST, AND CONCLUDED THAT AS OF SEPTEMBER 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: REBATES EARNED 5,998,096. PART XII, LINE 2D - OTHER ADJUSTMENTS: REBATES EARNED -5,998,096. FORM 990, PART VI, SECTION B, LINE 11B THE TRUST CHAIR REVIEWS AND SIGNS THE FORM 990 ONE WEEK PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 15 THE TRUSTEES RECEIVE AGREED UPON FEES BASED ON THEIR ATTENDANCE AT TRUSTEE MEETINGS THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 ALL FINANCIAL INFORMATION IS CURRENTLY ON FILE WITH THE NORTH CAROLINA DEPARTMENT OF INSURANCE FOR PUBLIC REVIEW. FORM 990, PART XI, LINE 9: CHANGE IN NON-ADMITTED ASSETS -710,687. 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