2024-02-01T07:39:52-06:00 2023-06-30 474526160 EFPR GROUP CPAS PLLC 8 DENISON PARKWAY E SUITE 407 CORNING NY 14830 990 2022-07-01 237925669 NORTHERN TIER INSURANCE CONSORTIUM C/O BLAST IU 17 NORT 5706736001 33 SPRINGBROOK DRIVE CANTON PA 17724 SARA MCNETT TREASURER 5706736001 2024-01-31 1 SARA MCNETT 999009999 1 RICHARD J DAVIS CPA P00732051 6079626891 2024-01-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SARA MCNETT 33 SPRINGBROOK DRIVE CANTON PA 17724 42141496 0 X N/A X 2002 PA TO REDUCE HEALTH INSURANCE COSTS FOR SCHOOL DISTRICTS IN THE REGION BY SELF-INSURANCE AND CONSOLIDATION OF EFFORT. 13 13 0 0 0 0 0 0 39423616 41516475 123821 621909 942 3112 39548379 42141496 0 0 0 0 0 0 0 0 0 38690668 40060950 38690668 40060950 857711 2080546 15312098 17573744 2180300 2361400 13131798 15212344 TO REDUCE HEALTH INSURANCE COSTS FOR SCHOOL DISTRICTS IN THE REGION BY SELF-INSURANCE AND CONSOLIDATION OF EFFORT. 0 0 40043099 41519587 THE CONSORTIUM WAS ORGANIZED TO PROVIDE HEALTH, DENTAL AND PRESCRIPTION COVERAGE FOR THE EMPLOYEES OF PARTICIPATING MEMBER ORGANIZATIONS AND IS THE SOLE PROGRAM SERVICE OF THE CONSORTIUM. 40043099 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X BLAST IU 17 5706736001 33 SPRINGBROOK DR CANTON PA 17724 X X MICHELE WELLS CHAIR 0.50 X X 0 0 0 MARK JANNONE VICE CHAIR 0.50 X X 0 0 0 SARA MCNETT TREASURER 1.00 X X 0 0 0 GARY MARTELL TRUSTEE 0.50 X 0 0 0 DR AMY MARTELL TRUSTEE 0.50 X 0 0 0 DR CHRISTINA STEINBACHER-REED TRUSTEE 0.50 X 0 0 0 MARY ANN BOARDMAN TRUSTEE 0.50 X 0 0 0 MATTHEW HOLMES TRUSTEE 0.50 X 0 0 0 JENNILEE SHORES TRUSTEE 0.50 X 0 0 0 CRAIG STAGE TRUSTEE 0.50 X 0 0 0 BARRY CLAYPOOL TRUSTEE 0.50 X 0 0 0 DR JILL DALOISIO TRUSTEE 0.50 X 0 0 0 BRIAN DRISCOLL TRUSTEE 0.50 X 0 0 0 DENNIS PEACHEY TRUSTEE 0.50 X 0 0 0 TRACI GILLILAND TRUSTEE 0.50 X 0 0 0 DR JANILYN ELIAS TRUSTEE 0.50 X 0 0 0 STEPHANIE HELLER TRUSTEE 0.50 X 0 0 0 DR JASON BOTTIGLIERI TRUSTEE 0.50 X 0 0 0 KATHY VANSCHAICK TRUSTEE 0.50 X 0 0 0 DR DIANA BARNES TRUSTEE 0.50 X 0 0 0 BONNIE THOMPSON TRUSTEE 0.50 X 0 0 0 SAM ROTELLA JR TRUSTEE 0.50 X 0 0 0 JORDAN DEHAAS TRUSTEE 0.50 X 0 0 0 ALANNA HUCK TRUSTEE 0.50 X 0 0 0 DOUGLAS LINDNER TRUSTEE 0.50 X 0 0 0 LANCE MABUS TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 0 INSURANCE PREMIUMS 524298 41403475 41403475 INSURANCE REFUND 524298 113000 113000 41516475 621909 621909 OTHER INCOME 900099 3112 3112 3112 42141496 41519587 0 621909 78655 76155 2500 11951 11951 3400 3400 1099699 1099699 INSURANCE CLAIMS 37427848 37427848 STOP LOSS INSURANCE EXP 1134935 1134935 WELLNESS EXPENSES 304462 304462 40060950 40043099 17851 0 15312098 17573744 15312098 17573744 2180300 2361400 2180300 2361400 X 13131798 15212344 13131798 15212344 15312098 17573744 2080546 0 X X 1 X 0 1 0 0 UNPAID CLAIMS LIABILITY 2361400 2361400 X PART X, LINE 2: INCOME TAXES - THE CONSORTIUM IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE CONSORTIUM'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE CONSORTIUM'S INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. FORM 990, PART VI, SECTION A, LINE 1A THE CONSORTIUM CONSISTS OF THIRTEEN MEMBER ORGANIZATIONS. EACH OF THE 13 MEMBER ORGANIZATIONS HAS TWO INDIVIDUALS ON THE CONSORTIUM'S BOARD OF TRUSTEES. EACH MEMBER ORGANIZATION IS ALLOWED ONE VOTE. ADDITIONALLY, THE SECRETARY OF THE BOARD IS NOT A MEMBER AND DOES NOT HOLD A VOTE. FORM 990, PART VI, SECTION B, LINE 11B THE CONSORTIUM'S BOARD OF TRUSTEES REVIEWS AND APPROVES THE IRS FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE CONSORTIUM MAKES ALL GOVERNING DOCUMENTS, POLICIES AND REVIEWED FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE CONSORTIUM'S PROVIDED ADDRESS. FORM 990, PART VII, COLUMNS E & F: ALL 26 BOARD MEMBERS OF THE CONSORTIUM ARE EMPLOYED BY THE RELATED PARTIES DISCLOSED IN SCHEDULE R. THEY PERFORM ONLY MINOR SERVICES FOR THE CONSORTIUM AND NEITHER RECEIVE OR ARE ENTITLED TO RECEIVE BENEFITS FOR THOSE SERVICES. FORM 990, PART XII, LINE 1: OTHER ACCOUNTING METHOD - THE CONSORTIUM RECOGNIZES INCOME AND EXPENSE UNDER THE MODIFIED CASH BASIS OF ACCOUNTING, WHICH DIFFERS FROM ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. UNDER THIS METHOD, REVENUES ARE RECOGNIZED WHEN RECEIVED AND EXPENSES WHEN PAID, EXCEPT FOR CERTAIN LIABILITIES RELATED TO UNPAID CLAIMS, WHICH ARE RECORDED IN THE STATEMENT OF ASSETS, LIABILITIES AND NET ASSETS - MODIFIED CASH BASIS. FORM 990, PART XII, LINE 2C: THE CONSORTIUM'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE REVIEW OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE REVIEWED FINANCIAL STATEMENTS OF THE CONSORTIUM. THE BOARD OF TRUSTEES APPOINTS AN INDEPENDENT ACCOUNTANT ANNUALLY BY MAJORITY VOTE AT ITS MONTHLY MEETINGS. ATHENS AREA SCHOOL DISTRICT 100 CANAL STREET ATHENS PA 18810 231671235 EDUCATION PA 0 BLAST IU 17 33 SPRINGBROOK DR CANTON PA 17724 231734578 EDUCATION PA 0 CANTON AREA SCHOOL DISTRICT 509 E MAIN ST CANTON PA 17724 231661105 EDUCATION PA 0 NORTHEAST BRADFORD SCHOOL DISTRICT 526 PANTHER LANE ROME PA 18837 246002165 EDUCATION PA 0 NORTHERN TIER CAREER CENTER 120 CAREER CENTER LANE TOWANDA PA 18848 231672458 EDUCATION PA 0 NORTHERN TIOGA SCHOOL DISTRICT 110 ELLISON ROAD ELKLAND PA 16920 231667683 EDUCATION PA 0 SAYRE AREA SCHOOL DISTRICT 333 W LOCKHART ST SAYRE PA 18840 231671518 EDUCATION PA 0 SOUTHERN TIOGA SCHOOL DISTRICT 310 MORRIS STREET BLOSSBURG PA 16912 231667855 EDUCATION PA 0 SULLIVAN COUNTY SCHOOL DISTRICT 777 SOUTH ST LAPORTE PA 18626 231667984 EDUCATION PA 0 TOWANDA AREA SCHOOL DISTRICT 410 STATE ST TOWANDA PA 18848 236417077 EDUCATION PA 0 TROY AREA SCHOOL DISTRICT 68 FENNER AVENUE TROY PA 16947 231667986 EDUCATION PA 0 WELLSBORO AREA SCHOOL DISTRICT 227 NICHOLS ST WELLSBORO PA 16901 246001315 EDUCATION PA 0 WYALUSING AREA SCHOOL DISTRICT 11450 WYALUSING-NEW ALBANY ROAD WYALUSING PA 18853 236417107 EDUCATION PA 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0