2024-08-01T11:42:03-05:00 2023-12-31 390758449 WIPFLI LLP 43 CONSTITUTION DRIVE SUITE 100 BEDFORD NH 03110 990 2023-01-01 026005138 NEW HAMPSHIRE BANKERS ASSOCIATION INSURANCE TRUST NEWH 6032245373 PO BOX 2586 CONCORD NH 03302 KRISTY MERRILL EXECUTIVE SECRETARY 6032245373 2024-07-16 1 1 LANCE R TURGEON P00627708 6036273838 2024-07-16 2023 2024-08-08 14:25:15Z KRISTY MERRILL PO BOX 2586 CONCORD NH 033022586 8474963 0 X HTTP://WWW.NHBANKERS.COM/PRODUCTS-SERVICES/INSURA X 1950 NH THE PRIMARY PURPOSE OF THE INSURANCE TRUST IS TO OBTAIN VARIOUS INSURANCE BENEFIT PROGRAMS (LIFE, AD&D, HEALTH, DENTAL, ETC.) FOR ITS MEMBERS AT RATES LESS THAN THEY COULD INDIVIDUALLY OBTAIN. 6 0 0 6 0 0 0 0 7964395 8439187 692 35776 0 0 7965087 8474963 0 0 7707633 8800990 0 0 0 0 0 357439 354487 8065072 9155477 -99985 -680514 1555012 848132 400258 373892 1154754 474240 THE PRIMARY PURPOSE OF THE INSURANCE TRUST IS TO OBTAIN VARIOUS INSURANCE BENEFIT PROGRAMS (LIFE, AD&D, HEALTH, DENTAL, ETC.) FOR ITS MEMBERS AT RATES LESS THAN THEY COULD INDIVIDUALLY OBTAIN. 0 0 9155477 0 8439187 THE INSURANCE TRUST OFFERS HEALTH, DENTAL, & LIFE INSURANCE BENEFIT PLANS TO MEMBERS. THE TRUST OFFERS INSURANCE BENEFITS TO 14 MEMBERS, COVERING APPROXIMATELY 1062 PARTICIPANTS AT DECEMBER 31, 2023. 9155477 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 0 0 X KRISTY MERRILL EXECUTIVE SECRETARY 6032245373 PO BOX 2586 CONCORD NH 03302 MARK PITKIN CHAIRMAN 1.00 X X 0 0 0 AMY RANKINS TRUSTEE 2.00 X 0 0 0 STEFFANY GALLANT TRUSTEE 1.00 X 0 0 0 JAMES GRAHAM TRUSTEE 1.00 X 0 0 0 KATHY MAGUIRE TRUSTEE 1.00 X 0 0 0 KEVIN MILLER TRUSTEE 1.00 X 0 0 0 KRISTY MERRILL EXECUTIVE SECRETARY 5.00 50.00 X 0 201351 38965 SANDY TRACY SPV/COO 1.00 39.00 X 0 142950 63815 0 344301 102780 0 0 1 0 0 X GROSS PREMIUM INCOME 525100 8439187 8439187 8439187 35776 35776 8474963 8439187 0 35776 8800990 35218 53525 102183 1252 BROKER FEES 116635 ALLOCATED EMPLOYEE COST 42951 TAXES 2463 260 9155477 1436774 612397 64928 225335 13400 39910 10400 1555012 848132 30878 20319 369380 353573 400258 373892 X 0 0 0 0 1154754 474240 1154754 474240 1555012 848132 -680514 0 X X 0 1 X 1 0 0 X 8474963 0 8474963 0 8474963 9155477 0 9155477 0 9155477 PART X, LINE 2: THE PLAN'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZES A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY APPLICABLE TAX AUTHORITIES. THE PLAN'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT THROUGH DECEMBER 31, 2023, THERE ARE NO SIGNIFICANT UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 0 0 0 KRISTY MERRILL EXECUTIVE SECRETARY 0 184971 0 16380 0 0 0 26756 0 12209 0 240316 0 0 SANDY TRACY SPV/COO 0 134576 0 8374 0 0 0 28978 0 34837 0 206765 0 0 NEW HAMPSHIRE BANKERS SERVICES MANAGEMENT FEE RECEIVABLE FROM ORGANIZATION RELATED TO MANAGEMENT FEES X 13400 0 0 1 1 PISCATAQUA SAVINGS BANK TRUSTEE SERVES AS AN OFFICER OF THIS BANK 668111 INSURANCE PREMIUM PAYMENTS 0 PROFILE BANK TRUSTEE SERVES AS AN OFFICER OF THIS BANK 582956 INSURANCE PREMIUM PAYMENTS 0 WOODSVILLE GUARANTY SAVINGS BANK TRUSTEE SERVES AS AN OFFICER OF THIS BANK 1236179 INSURANCE PREMIUM PAYMENTS 0 SUGAR RIVER BANK TRUSTEE SERVES AS AN OFFICER OF THIS BANK 1083535 INSURANCE PREMIUM PAYMENTS 0 FRANKLIN SAVINGS BANK TRUSTEE SERVES AS AN OFFICER OF THIS BANK 1402711 INSURANCE PREMIUM PAYMENTS 0 GRANITE EDVANCE TRUSTEE SERVES AS AN OFFICER OF THIS BANK 1526926 INSURANCE PREMIUM PAYMENTS 0 SCHEDULE L, PART IV: THE TRUSTEES OF NEW HAMPSHIRE BANKERS ASSOCIATION INSURANCE TRUST ARE OFFICERS OF MEMBERS WHO PARTICIPATE IN THE INSURANCE PROGRAMS THAT NHBAIT OFFERS. THE TRANSACTIONS REPORTED ARE PAYMENTS OF THE INSURANCE PREMIUMS TO NHBAIT FOR THE MEMBERS EMPLOYEES INSURANCE COVERAGE. FORM 990, PART VI, SECTION A, LINE 6 PARTICIPATING EMPLOYERS MAY CALL MEETINGS AND HAVE THE ABILITY TO VOTE ON ANY DECISIONS TO TERMINATE THE TRUST. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES ARE ALL APPOINTED BY THE MEMBERS. THE TRUST BOARD OF TRUSTEES DOES NOT HAVE THE POWER TO ELECT OR APPOINT ANY MEMBER OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B PARTICIPATING EMPLOYERS MAY CALL MEETINGS AND HAVE THE ABILITY TO VOTE ON ANY DECISION TO TERMINATE THE TRUST. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE SECRETARY DOES A DETAILED REVIEW OF THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. EACH BOARD MEMBER IS GIVEN A COPY OF THE FORM 990 TO REVIEW. BOARD MEMBERS REVIEW AND VOTE ON THE FORM 990 AND ON THE AUDIT REPORT. FORM 990, PART VI, SECTION B, LINE 12C THE TRUST HAS A FORMAL "CONFLICT OF INTEREST POLICY AND "DIRECTOR INDEPENDENCE POLICY" WHICH ARE ARE GIVEN TO EACH TRUSTEE ALONG WITH A "TRUSTEE INDEPENDENCE QUESTIONNAIRE" EACH YEAR. THE QUESTIONNAIRE MUST BE SIGNED AND RETURNED TO THE OFFICE OF THE TRUST. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST DOES NOT MAKE DOCUMENTS AVAILABLE TO THE PUBLIC. DOCUMENTS ARE AVAILABLE UPON REQUEST TO MEMBERS. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC KRISTY MERRILL - PO BOX 2586, CONCORD, NH 03302. MARK PITKIN - 10 N. MAIN STREET, NEWPORT, NH 03773. AMY RANKINS - 387 CENTRAL ST, FRANKLIN, NH 03235. STEFFANY GALLANT - 15 PLEASANT STREET, PORTSMOUTH, NH 03801. JAMES GRAHAM - PO BOX 266, WOODSVILLE, NH 03561. KATHY MAGUIRE - 3 BARRELL COURT, CONCORD, NH 03301. KEVIN MILLER - 45 WAKEFIELD STREET, ROCHESTER, NH 03867. PART VII NUMBER 3A THE TRUST'S INVESTMENT INCOME WAS EARNED ON FUNDS SET ASIDE FOR THE PAYMENT OF HEALTH BENEFITS. THE FUNDS SET ASIDE DID NOT EXCEED THE LIMITS UNDER CODE SECTION 419A (5) AND REGULATION 1.512(A)-5. AS SUCH THE INVESTMENT INCOME QUALIFIED AS EXEMPT FUNCTION INCOME AND IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAXATION. FORM 990, PART XII, LINE 2C: THE TRUSTEES ASSUME THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED DURING THE YEAR. PART VI SECTION A 1B NONE OF THE TRUSTEES ARE INDEPENDENT SINCE THEY ARE EXECUTIVES AT THE MEMBER BANKS THAT RECEIVE HEALTH INSURANCE THROUGH THE TRUST AND THE PREMIUMS PAID MUST BE REPORTED ON SCHEDULE L. IT IS A REQUIREMENT THAT THE TRUSTEES BE MEMBERS OF THE TRUST, THUS IN MOST CASES, A TRUSTEE WILL NOT MEET THE DEFINITION OF AN INDEPENDENT DIRECTOR. NEW HAMPSHIRE BANKERS ASSOCIATION PO BOX 2586 CONCORD NH 033022586 020235648 PLAN SPONSOR; BANK MEMBER SERVICES NH 501(C)(6) 0 NEW HAMPSHIRE BANKERS SERVICES LLC P O BOX 2586 CONCORD NH 033022586 208937557 INSURANCE NH C 0 BUSINESS FINANCE AUTHORITY PARTICIPATING EMPLOYER 0 CLAREMONT SAVINGS BANK PARTICIPATING EMPLOYER 0 FIRST SEACOAST BANK (FNA FEDERAL SAVINGS BANK) PARTICIPATING EMPLOYER 0 FRANKLIN SAVINGS BANK PARTICIPATING EMPLOYER 0 GRANITE EDVANCE PARTICIPATING EMPLOYER 0 NEW HAMPSHIRE BANKERS ASSOCIATION PARTICIPATING EMPLOYER 0 NH COMMUNITY DEVELOPMENT FINANCE AUTHORITY PARTICIPATING EMPLOYER 0 NH HEALTH & EDUCATIONAL FACILITIES AUTHORITY PARTICIPATING EMPLOYER 0 PISCATAQUA SAVINGS BANK PARTICIPATING EMPLOYER 0 PROFILE BANK FSB PARTICIPATING EMPLOYER 0 SALEM CO-OPERATIVE BANK PARTICIPATING EMPLOYER 0 SUGAR RIVER BANK PARTICIPATING EMPLOYER 0 WOODSVILLE GUARANTY SAVINGS BANK PARTICIPATING EMPLOYER 0 MILLYARD BANK PARTICIPATING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0