2024-05-06T12:36:32-05:00 2023-12-31 990 2023-01-01 311607892 CENTRAL EMPLOYEE BENEFIT VEBA TR CENT 4192381010 800 S WASHINGTON ST VAN WERT OH 45891 AMY DOUGAL VP-TREASURER 4192381010 2024-05-06 AMY DOUGAL 999009999 0 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z AMY DOUGAL 800 S WASHINGTON ST VAN WERT OH 45891 15918215 0 X N/A X 1998 OH VOLUNTARY EMPLOYEE BENEFITS - MEDICAL, LIFE, DENTAL AND VISION BENEFITS 12 9 0 0 0 0 0 0 12542962 14697690 -1930215 1220525 0 0 10612747 15918215 0 0 11731094 13841683 0 0 0 0 0 413156 547921 12144250 14389604 -1531503 1528611 22341618 23869100 2945 1816 22338673 23867284 X VOLUNTARY EMPLOYEE BENEFITS - MEDICAL, LIFE, DENTAL AND VISION BENEFITS 0 0 10918984 MEDICAL EXPENSES - COVERS VARIOUS EXPENSES RELATING TO HOSPITAL, SURGICAL, PRESCRIPTIONS, ETC. 552567 DENTAL EXPENSES - COVERS VARIOUS DENTAL EXPENSES RELATING TO PREVENTION AND DIAGNOSTIC TREATMENT, RESTORATIVE TREATMENT AND ORTHODONTIC TREATMENT 433232 LIFE INSURANCE - COVERS ACTIVE PARTICIPATION OF TWICE ANNUAL SALARY. RETIREES AT ONE-HALF COVERAGE UPON RETIREMENT (MAXIMUM OF $10,000). 1936900 A.VISION EXPENSES - COVERS VARIOUS EXPENSES RELATING TO PREVENTING AND DIAGNOSITC TREATMENT: EXPENSE $136,432.16. STOP LOSS PREMIUM - REINSURANCE CONTRACT ON LARGE MEDICAL CLAIMS: $554,083.56. EMPLOYEE ASSISTANCE, PERSONAL ASSESSMENT AND COUNSELING SERVICES: $14,911.43. MEDICARE ADVANTAGE - RETIREE COVERAGE FOR VARIOUS MEDICAL EXPENSES: $1,231,472.50 1936900 13841683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 X 12 9 1 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X CENTRAL EMPLOYEES BENEFIT TRUST 4192381010 800 S WASHINGTON ST VAN WERT OH 45891 X CENTRAL MUTUAL INSURANCE CO INSTUTIONAL TRUSTEE 0.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 9270597 9270597 PARTICIPANT CONTRIBUTI 525100 4604748 4604748 POST RETIREMENT CONTRI 525100 822345 822345 14697690 3675 3675 1216850 1216850 15918215 0 0 15918215 13841683 13841683 388770 388770 ADMINISTRATIVE EXPENSES 159151 159151 14389604 13841683 547921 0 314529 440472 257931 250649 21616466 23019381 152692 158598 22341618 23869100 2945 1816 2945 1816 X 0 0 0 0 22338673 23867284 22338673 23867284 22341618 23869100 1528611 0 X 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 CEO OF THE INSURER HAS A FAMILY RELATIONSHIP WITH THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS OF THE TRUSTEE ARE ELECTED BY POLICYHOLDER/MEMBERS, AS TRUSTEE IS A MUTUAL INSURER FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED 990 IS REVIEWED BY A MEMBER OF THE GOVERNING BOARD WITH FINANCIAL KNOWLEDGE ON BEHALF OF MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST DELCARATION FORMS ARE REQUIRED FORM 990, PART VI, SECTION C, LINE 19 SUMMARIZED FINANCIAL STATEMENTS ARE PROVIDED TO TRUST BENEFICIARIES ANNUALLY. GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND MORE DETAILED FINANCIAL INFORMATION IS AVAILABLE UPON REQUEST.