2024-11-15T10:22:55-06:00 2023-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-01-01 871254624 NDHA Health Benefits Trust NDHA 7012249732 1622 Interstate Ave B Bismarck ND 58503 Tim Blasl Chair 7012249732 2024-11-14 1 1 Kim Hunwardsen CPA P00484560 6122536500 2024-11-13 2023 2024-10-15 13:58:12Z Tim Blasl 1622 Interstate Ave B Bismarck ND 58503 9932744 0 X ndha.org/services/services-ndha-health-benefits-t X 2021 ND Provide health insurance to participating members. 5 1 0 5 27176 0 0 0 8314694 9905568 823 27176 0 0 8315517 9932744 0 0 5881156 6223899 0 0 0 0 0 2438411 2745197 8319567 8969096 -4050 963648 548829 1516331 39397 43251 509432 1473080 None 0 0 The NDHA Health Benefits Trust was funded in 2021 and provided medical benefits to 653 participants not including dependents in 2023. 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 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 5 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X Tim Blasl 7012249732 1622 Interstate Ave B Bismarck ND 58503 X Tim Blasl President 4.00 40.00 X X 0 325069 64671 Erik Christenson Vice Chair 4.00 58.00 X X 0 153379 44032 Derek Schaff Secretary/Treasurer 4.00 40.00 X X 0 135737 25828 Rachel Ray Trustee 4.00 0.00 X 0 0 0 Chelsey Tetrault Trustee 4.00 40.00 X 0 92089 14322 Aaron Brennan Trust Administrator 4.00 40.00 X 0 71506 25444 0 777780 174297 0 0 1 0 Blue Cross Blue Shield of North Dakota 4510 13th Ave S Fargo ND 58121 Administrative Fees 573210 1 Premiums 525100 9905568 9905568 9905568 27176 27176 9932744 9905568 27176 0 6223899 4346 22468 692244 4882 764 5013 Stop Loss Premium 2014450 1030 8969096 10037 1178668 538792 337663 548829 1516331 39397 43251 39397 43251 X 0 0 0 0 509432 1473080 509432 1473080 548829 1516331 963648 0 X 0 1 X 0 0 0 X 9932744 0 9932744 0 9932744 8969096 0 8969096 0 8969096 Part X, Line 2: Accounting principles generally accepted in the United States of America require trust management to evaluate tax positions taken by the trust and recognize a tax liability (or asset) if the trust has taken an uncertain tax position that more likely than not would not be sustained upon examination of the Internal Revenue Service. The trust is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. 0 0 0 Tim Blasl President 0 265389 0 50000 0 9680 0 29700 0 36777 0 391546 0 0 Erik Christenson Vice Chair 0 153379 0 0 0 0 0 3726 0 41815 0 198920 0 0 Derek Schaff Secretary/Treasurer 0 135737 0 0 0 0 0 7836 0 17992 0 161565 0 0 Form 990, Part VI, Section A, line 1a The Board of Trustees consists of four Trustees that are employees of the contributing employers and one Trustee that is not an employee of the plan sponsor, contributing employer, or any organization that is considered related to the NDHA Health Benefits Trust. The four Trustees that are employees of related organizations are compensated by their respective contributing employers for the services they provide as employees. Due to this, these four Trustees are not considered independent Trustees and the one Trustee that is not compensated by a related organization is considered independent. Form 990, Part VI, Section A, line 8b The organization does not have any committees that have the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Trust Administrator provides a copy to the governing body for review. The governing body, Trust Administrator, and Plan Sponsor's Director of Finance then review Form 990 together to ensure its accuracy before filing. Form 990, Part VI, Section B, line 12c All Trustees are required to comply with the conflict of interest policy. Potential conflicts that are identified by the Trustees are reviewed by Melissa Hauer and Aaron Brennan. Restrictions on Trustees with conflicts include but are not limited to the removal of the trustee from the conversation/situation. Form 990, Part VI, Section C, line 19 The Trust does not make the 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 represents compensation paid by our member Hospital to their employee for services the employee provides to the Hospital as their employee. No portion of this compensation is provided for the services provided by our Trustees as a Trustee of the NDHA Health Benefits Trust. North Dakota Hospital Association PO Box 7340 Bismarck ND 58507 450274165 Association to advance health status ND 501(c)(6) N/A 0 Heart of America Linton Regional Medical Center Nelson County Health System Pembina County Memorial Hospital Association Prairie Rose Assisted Living Southwest Healthcare Services St Luke's Hospital Towner County Medical Center West River Health Services Wishek Community Hospital & Clinics 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1