2024-11-07T10:56:05-06:00 2023-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-01-01 475256219 ND REC Benefit Trust NDRE 7016636501 Josh Kramer PO Box 727 Mandan ND 58554 Josh Kramer Chair 7016636501 2024-11-06 1 1 Lisa Chaffee CPA P00193453 7012551091 2024-11-06 2023 2024-10-15 13:58:12Z Josh Kramer Josh Kramer PO Box 727 Mandan ND 58554 19534009 0 X N/A X 2015 ND The purpose of the Plan and this Trust is to create a federal and state tax exempt voluntary employees' beneficiary association described in the Internal Revenue Code Section 501(c)(9) and its related treasury regulations, to provide group health and other statutorily permitted insured or self-funded benefits as determined by the trustees to employees of the association's employers who agree to participate in the plan of this Trust. 15 0 0 22 409348 0 0 0 17853638 19124661 113065 409348 0 0 17966703 19534009 0 0 14139738 14451480 0 0 0 0 0 3232342 3699647 17372080 18151127 594623 1382882 7955491 9496963 10375 168965 7945116 9327998 To Provide quality cost effective health benefits to foster a safe and healthy culture for our cooperative families. 0 0 The plans within the trust provide medical, dental and vision benefits for all eligible employees, their families and dependents of the 20 participating employers, as defined within the trust. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 X 15 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Brenna Ohman 7016636501 3201 Nygren Dr NW Mandan ND 58554 X Josh Kramer Chair 4.00 40.00 X X 0 232163 64993 Brenna Ohman Alternate 2.00 40.00 X 0 126704 12629 Christel Laskowski Vice Chair, See Sch O Explanati 2.00 40.00 X X 0 0 0 Sarah Dawson SecretaryTreas- urer See Sch O Explanation 1.00 40.00 X X 0 0 0 Alex Craigmile Alternate See Sch O Explanation 1.00 40.00 X 0 0 0 Brady Skaff Trustee Jan-Aug See Sch O Explanation 0.10 40.00 X 0 0 0 Brooke Waltner Trustee Feb- Dec) See Sch O Explanation 0.50 40.00 X 0 0 0 Casey Jans Alternate See Sch O Explanation 0.50 40.00 X 0 0 0 Chad Sapa Alternate See Sch O Explanation 1.00 40.00 X 0 0 0 Cheryl Belle Trustee See Sch O Explanation 1.00 40.00 X 0 0 0 Dean Volk Alternate See Sch O Explanation 1.00 40.00 X 0 0 0 Jami Hovet Alternate See Sch O Explanation 2.00 40.00 X 0 0 0 Jay Lux Trustee See Sch O Explanation 0.50 40.00 X 0 0 0 Jerry King Trustee See Sch O Explanation 2.00 40.00 X 0 0 0 Jessica Mack SecretaryTresurer (Through Aug) See Sch O Explanation 1.00 40.00 X 0 0 0 Julie Armijo Trustee See Sch O Explanation 1.00 40.00 X 0 0 0 Kandace D'Ambrosio Trustee See Sch O Explanation 1.00 40.00 X 0 0 0 Kelly Wald Trustee See Sch O Explanation 1.00 40.00 X 0 0 0 Lenell Jepsen Altnerate Aug- Dec) See Sch O Explanation 1.00 40.00 X 0 0 0 Marcy Sanders Trustee See Sch O Explanation 1.00 40.00 X 0 0 0 Michaela Kathrein Perbix Trustee See Sch O Explanation 1.00 40.00 X 0 0 0 Robert Whalen Trustee See Sch O Explanation 1.00 40.00 X 0 0 0 Tami Aljets Alternate See Sch O Explanation 1.00 40.00 X 0 0 0 Theresa Halverson Trustee Oct Dec) See Sch O Explanation 1.00 40.00 X 0 0 0 Tom Edwards Trustee See Sch O Explanation 0.50 40.00 X 0 0 0 0 358867 77622 0 0 1 0 Blue Cross Blue Shield of ND 4510 13th Ave S Fargo ND 58121 Third-Party Claims Administrator 893112 NDAREC 3201 Nygren Dr NW Mandan ND 58554 Administrative Services 123791 Brown & Brown 111 W Monroe St Chicago IL 60603 Consulting Fees 110000 3 Participating Member Contribution 525100 19124661 19124661 19124661 409348 409348 19534009 19124661 409348 0 14451480 16850 1164908 9968 387 3000 821 1023 5572 Premiums Paid to Insura 2490723 Affordable Care Act Fee 6395 18151127 1634625 1430009 1032917 526000 5228611 7401851 59338 139103 7955491 9496963 10375 7729 0 161236 10375 168965 X 0 0 0 0 7945116 9327998 7945116 9327998 7955491 9496963 1382882 0 X 0 1 X 0 0 0 CFC Select Notes 7401851 F 7401851 X 19534009 0 19534009 0 19534009 18151127 0 18151127 0 18151127 Part X, Line 2: Accounting principles generally accepted in the United States of America require Plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. 0 0 0 Josh Kramer Chair 0 224389 0 0 0 7774 0 33773 0 34174 0 300110 0 0 Form 990, Part VI, Section A, line 1a Each qualified Employer may appoint one regular voting Trustee. Fifteen of the Employers have elected a trustee with voting rights and one participating Employer has chosen not to appoint a voting trustee. An Alternate Trustee may be appointed to vote; however, the Alternate Trustee shall only vote in the absence of the regular Trustee representative. Form 990, Part VI, Section A, line 6 The members of the ND REC Benefit Trust consists of participating employers of an electric distribution cooperative or generation and transmission cooperative which is a voting member of NDAREC, or a management services company or a subsidiary that is owned by a voting member or voting members of NDAREC. An Employer must also be a party to a written agreement which provides for the making of contributions to the Trust with respect to its Employees. NDAREC and its subsidiaries shall also be an Employer. Form 990, Part VI, Section A, line 7a The Trust shall be administered by a Board of Trustees, which shall consist of one voting representative of each participating Employer, which is a voting member of the Association. Each qualified Employer may elect or appoint one regular voting Trustee representative and an Alternate Trustee to represent the Employer in the absence of the regular Trustee representative. In addition, a voting representative Trustee seat on the board shall be held by NDAREC's Executive Vice President and General Manager. Form 990, Part VI, Section A, line 8b There is no committee with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 will be provided to the trustees via e-mail for review before filing. Form 990, Part VI, Section B, line 12c Trustees and Alternates annually review the conflict of interest policy and report any potential conflicts of interest. Any conflicts that are disclosed are reviewed by the remaining Trustees and Alternates. Trustees or Alternates with a conflict recuse themselves from voting on issues in which they have a conflict. Form 990, Part VI, Section C, line 19 These documents were not made available to the public. Form 990, Part VII, Section A, Line 1A, Column (E) and (F): Reasonable Effort to Obtain Compensation: ND REC Benefit Trust e-mailed both the trustees and alternatives of the board with voting powers requesting compensation and benefits paid by a related organization. The organization was able to obtain compensation for two trustees. They were unable to obtain the requested information from the remaining trustees and alternatives. Burke-Divide Electric Cooperative Cass County Electric Cooperative Cavalier Electric Cooperative Central Power Electric Cooperative Dakota Valley Electric Cooperative KEM Electric Cooperative Minnkota Power Cooperative Mor Gran Sou Electric Cooperative Mountrail-Williams Electric Cooperative Nodak Electric Cooperative North Central Electric Cooperative North Dakota Association of Rural Electric Cooperatives 3201 Nygren Drive NW Mandan ND 58554 450231058 Rural Electric Cooperative Service Association ND 501(c)(6) N/A 0 Northern Plains Electric Cooperative Roughrider Electric Cooperative Slope Electric Cooperative Verendrye Electric Cooperative 3C Construction LLC Innovative Energy Alliance Cooperative Maintenance Solutions Cooperative Glenn's Appliance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1