2024-11-08T08:30:34-06:00 2023-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-01-01 823520467 CUAD Health Benefits Trust CUAD 7012503926 2005 N Kavaney Dr Ste 201 Bismarck ND 58501 Jeff Olson Chair 7012503926 2024-11-07 1 1 Lisa Chaffee CPA P00193453 7012551091 2024-10-28 2023 2024-10-15 13:58:12Z Jeff Olson 2005 N Kavaney Dr Ste 201 Bismarck ND 58501 14813794 0 X N/A X 2018 ND To provide health, dental, and vision benefits to employees of participating employers. 13 0 0 14 58804 0 0 0 14595282 14754990 14697 58804 0 0 14609979 14813794 0 0 9488504 9423342 0 0 0 0 0 4183450 4184259 13671954 13607601 938025 1206193 4405126 5598020 142984 129685 4262142 5468335 None 0 0 In 2023 the Trust provided health, dental, and/or vision benefits to a total of 967 active participants, and 8 retired or separated participants for the 32 participating employers. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 1 0 1 1 0 0 0 0 0 0 0 X 13 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 X Dakota Credit Union Association 7012503926 2005 N Kavaney Dr Ste 201 Bismarck ND 58501 X Jeff Olson Chairperson 0.10 40.00 X X 0 222074 4301 Mindee Kohlman Secretary (to 5/23) 0.10 40.00 X X 0 0 0 Bob Herrington Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Justin Maddison Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Harold Hagen Trustee (See Sch O Explanation) 0.10 40.00 X 0 156600 5400 Jeff Meyer Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Jim Schaefbauer Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Jeff Schmidt SD Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Holly Jones SD Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Keith Robbennolt SD Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Floyd Rummel III SD Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Brenda Schmidt SD Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Tanya Hobson SD Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 Ryan Goehner SD Trustee (See Sch O Explanation) 0.10 40.00 X 0 0 0 0 378674 9701 0 0 1 0 Noridian Mutual Insurance Company 4510 13th Ave S Fargo ND 58121 Administrative Fees 431339 Wellmark 1601 W Madison Street Sioux Falls SD 57104 Administrative Fees 412966 2 Member Contributions 525100 14754990 14754990 14754990 58804 58804 14813794 14754990 58804 0 9423342 34913 38850 1002932 31502 Stop Loss Fees 2794237 281825 13607601 2941604 4096051 1451846 1492055 11676 9914 4405126 5598020 142984 129685 142984 129685 X 0 0 0 0 4262142 5468335 4262142 5468335 4405126 5598020 1206193 0 X 0 1 X 0 0 0 Broker Fees Payable 12589 Premium Tax Payable 95739 Other Liabilities 21357 129685 X 14813794 0 14813794 0 14813794 13607601 0 13607601 0 13607601 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 it 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 Jeff Olson Chairperson 0 200555 0 21519 0 0 0 0 0 4301 0 226375 0 0 Harold Hagen Trustee (See Sch O Explanation) 0 152000 0 4600 0 0 0 0 0 5400 0 162000 0 0 Form 990, Part VI, Section A, line 1a The Board of Trustees consists of employees of the contributing employers and as such the board members are compensated by the contributing employers for the services they provide as employees of their respective employer. Due to this, they are not considered independent Trustees. Form 990, Part VI, Section A, line 7a The Trust shall be administered by the Benefit Plan Trustees, which shall consist of at least seven Trustees or such other number established by the Trustees from time to time. Form 990, Part VI, Section A, line 8b There are no committees that are able to act on behalf of the board. Form 990, Part VI, Section B, line 11b A copy of the Form 990 will be provided to the board prior to its filing and will be reviewed at the next regularly scheduled board meeting after the Form 990 is filed. Form 990, Part VI, Section C, line 19 The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990, Part VII, Section A, Columns (E) and (F): The compensation reported in columns E and F represent compensation paid by our member credit unions to their employee for services the employee provides to the member credit union as their employee. No portion of this compensation is provided for the services provided by our Trustees as a Trustee of the Credit Union Association of the Dakotas Health Benefits Plan Trust. Reasonable Effort to Obtain Compensation: CUAD Health Benefit Trust e-mailed 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 twelve trustees. AREA COMMUNITY CREDIT UNION COMMUNITY CREDIT UNION Credit Union Association of the Dakotas 2005 N Kavaney Dr Bismarck ND 58501 204608169 Promote Member Credit Unions 501(c)(6) N/A 0 DAKOTA PLAINS CREDIT UNION DAKOTA RAIL LINE FEDERAL CREDIT UNION DAKOTA WEST CREDIT UNION DAKOTALAND FEDERAL CREDIT UNION EAST RIVER FEDERAL CREDIT UNION EXPLORERS FEDERAL CREDIT UNION FLASHER COMMUNITY CREDIT UNION FREEDOM COMMUNITY CREDIT UNION HEALTHCARE PLUS FEDERAL CREDIT UNION HOMETOWN CREDIT UNION HURON AREA EDUCATION FEDERAL CREDIT UNION LEVO FEDERAL CREDIT UNION MED PARK CREDIT UNION M-O FEDERAL CREDIT UNION NORSTAR FEDERAL CREDIT UNION NORTH STAR COMMUNITY CREDIT UNION NORTHERN HILLS FEDERAL CREDIT UNION RIVERFORK FEDERAL CREDIT UNION SENTINEL FEDERAL CREDIT UNION UNITED SAVINGS CREDIT UNION UNIVERSITY FEDERAL CREDIT UNION VOYAGE FEDERAL CREDIT UNION VUE COMMUNITY CREDIT UNION WESTERN COOPERATIVE CREDIT UNION BLACK HILLS FEDERAL CREDIT UNION AVANTI FEDERAL CREDIT UNION ASPIRE FEDERAL CREDIT UNION COTEAU VALLEY FEDERAL CREDIT UNION Krabseth Agency (Part of western Cooperative CU) Mid America Service Corporation 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1