2024-11-14T10:14:07-06:00 2023-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2023-01-01 820907005 MISSOURI CHAMBER FEDERATION BENEFIT PLAN TRUST MISS 5736343511 428 EAST CAPITOL AVENUE 100 JEFFERSON CITY MO 65101 KARA CORCHES CHAIRPERSON 5736343511 2024-11-14 1 0 CHRISTOPHER B ANDERSON P00226559 2163630100 2023 2024-10-15 13:58:12Z KARA CORCHES 428 EAST CAPITOL AVENUE 100 JEFFERSON CITY MO 65101 215289872 0 X N/A X 2017 MO THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT WHICH PROVIDES SELF-FUNDED MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 3 3 0 0 828614 827614 0 0 189255740 214461258 194410 828614 0 0 189450150 215289872 0 0 168161132 193234048 0 0 0 0 0 21075977 21450933 189237109 214684981 213041 604891 24915946 28225383 20130894 22835440 4785052 5389943 THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT WHICH PROVIDES SELF-FUNDED MEDICAL AND PRESCRIPTION DRUG BENEFITS FOR ITS MEMBERS. 0 0 THE MISSOURI CHAMBER FEDERATION BENEFIT PLAN TRUST PROVIDED SELF-FUNDED HEALTH AND WELFARE BENEFITS TO PARTICIPATING EMPLOYERS AND THEIR ELIGIBLE EMPLOYEES. PARTICIPATING EMPLOYERS ARE REQUIRED TO BE MEMBERS IN GOOD STANDING WITH A CHAMBER OF COMMERCE BELONGING TO THE MISSOURI CHAMBER FEDERATION. EACH PARTICIPATING EMPLOYER SPONSORS THEIR OWN BENEFIT PLAN. 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 0 0 0 1 1 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X KARA CORCHES 5736343511 428 E CAPITOL AVE 100 JEFFERSON CITY MO 65101 X DAN MEHAN TRUSTEE & CHAIRPERSON 1.00 X 0 0 0 RON FITZWATER TRUSTEE/TREASURER 1.00 X 0 0 0 FRANK BURKHEAD TRUSTEE 1.00 X 0 0 0 BRENDAN COSSETTE PLAN ADMINISTRATOR 1.00 X 0 0 0 0 0 0 0 0 0 0 ANTHEM BLUE CROSS BLUE SHIELD 1831 CHESTNUT ST ST LOUIS MO 63103 CONTRACT MANAGEMENT 12646324 CONSOLIPLEX MISSOURI BENEFITS 9555 ROCKSIDE RD STE 300-C CLEVELAND OH 44125 MANAGEMENT SERVICES 2354811 MARSH & MCLENNAN COMPANIES INC 6480 ROCKSIDE WOODS BLVD S STE 2 INDEPENDENCE OH 44131 GENERAL CONSULTING 601369 THP INSURANCE COMPANY 1110 MAIN ST WHEELING WV 26003 ADMINISTRATIVE SERVICES 560565 NAVIA BENEFIT SOLUTIONS 101 TYLER WAY MORAINE OH 45439 CONTRACT MANAGEMENT 185758 5 EMPLOYEE&EMPLOYER CONTRIB. 525100 214461258 214461258 214461258 828614 828614 215289872 214461258 828614 0 193234048 16499699 62255 10356 20800 78097 REGULATORY FEES 4475191 FEDERAL INCOME TAX 304535 214684981 12228021 0 5027278 22698570 410162 472887 53613 50833 3008201 5003093 4188671 0 24915946 28225383 3245345 3711418 16885549 19124022 20130894 22835440 X 4785052 5389943 4785052 5389943 24915946 28225383 604891 0 X 0 1 X 1 0 0 REINSURANCE PAYABLE 19124022 19124022 X 215289872 0 215289872 0 215289872 214684981 0 214684981 0 214684981 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 MAY 31, 2023 (THE YEAR-END OF THE ERISA WELFARE BENEFIT PLAN), 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. PART 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 MAY 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 AS IF THE TRUST HAD AUDITED GAAP FINANCIAL STATEMENTS FOR THE CALENDAR YEAR. FORM 990, 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 MAY 31, 2023. AN INSURANCE ENTITY LIKE THIS MULTIPLE EMPLOYER WELFARE ARRANGEMENT IS GENERALLY REQUIRED TO UTILIZE A CALENDAR YEAR FOR STATUTORY ACCOUNTING PURPOSES. 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 PLAN, ELECT THE TRUSTEES IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS. THE BOARD OF TRUSTEES GOVERNS THE PLAN. THEY SERVE THREE-YEAR STAGGERED TERMS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW - THE OUTSIDE PUBLIC ACCOUNTING FIRM REVIEWS THE DRAFT FORM 990 PROVIDED BY THE PLAN MANAGER AND REPORTS TO THE PLAN'S TRUSTEE-CHAIRPERSON. AFTER REVIEW AND APPROVAL BY THE TRUSTEE-CHAIRPERSON, 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 OF FIDUCIARIES. THE PROCEDURE FOR CUTTING CHECKS REQUIRES SIGNOFF BY ALL TRUSTEES WITH EXTERNAL REVIEW BY ACCOUNTANTS AND/OR ATTORNEYS. 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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