2025-11-17T15:35:52-06:00 2024-12-31 650140643 STEVEN D EISENBERG CPA PA 7700 CONGRESS AVENUE STE 1128 BOCA RATON FL 33487 990 2024-01-01 630334002 SOUTHEASTERN IRON WORKERS WELFARE PLAN SOUT 6158590131 PO BOX 1449 GOODLETTSVILLE TN 37370 ROBERT DUFFIELD Chairman 6158590131 2025-11-17 1 0 STEVEN D EISENBERG P00175252 9548469490 2025-11-16 2024 2025-03-06 01:10:19Z ROBERT DUFFIELD PO BOX 1449 GOODLETTSVILLE TN 37370 45923626 0 X N/A X 1953 TN To provide health benefits to its members. 16 0 0 0 0 0 0 0 33336631 32745282 493484 1520375 0 0 33830115 34265657 0 0 31022312 34739903 0 0 0 0 0 1947243 2120827 32969555 36860730 860560 -2595073 44183640 42262553 116876 132039 44066764 42130514 The Organization mission to is provide health benefits to eligible participants 0 0 HEALTH CLAIMS PAID ON BEHALF OF PARTICIPANTS AND / OR THEIR DEPENDENTS 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 0 0 X 16 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X SOUTHERN BENEFIT ADMINISTRATORS 6158590131 PO BOX 1449 GOODLETTSVILLE TN 37070 X ROBERT DUFFIELD CHAIRMAN 5.00 X X 0 0 0 JODY CREWS SECRETARY 5.00 X X 0 0 0 KEVIN BARBER TRUSTEE 5.00 X 0 0 0 YOSVANY TORRES TRUSTEE 5.00 X 0 0 0 ROBERT KNOST TRUSTEE 5.00 X 0 0 0 JEFF BAILEY TRUSTEE 5.00 X 0 0 0 WILLIAM BRADLEY TRUSTEE 5.00 X 0 0 0 DAN SEGOVIA TRUSTEE 5.00 X 0 0 0 ALEXANDER BERGEL TRUSTEE 5.00 X 0 0 0 STEPHEN SHELL TRUSTEE 5.00 X X 0 0 0 LESTER HENSLEY TRUSTEE 5.00 X 0 0 0 JIM BOYKIN TRUSTEE 5.00 X 0 0 0 CONRAD VARNUM TRUSTEE 5.00 X 0 0 0 WILLIAM McMILLAN TRUSTEE 5.00 X 0 0 0 PAUL METTE SECRETARY 5.00 X 0 0 0 ROBERT GARMOE TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 HCC LIFE INSURANCE COMPANY 225 TOWN PARK DRIVE STE 350 KENNESAW GA 30144 STOP LOSS COVERAGE 1965970 ANTHEM 3350 PEACHTREE ROAD NE ATLANTA GA 30326 PPO PROVIDER 1080508 SOUTHERN BENEFIT ADMINISTRATORS INC PO BOX 1449 GOODLETTSVILLE TN 37070 CONTRACT ADMINISTRATION 676497 3 CONTRIBUTIONS 525100 32745282 32745282 32745282 1155841 1155841 12022503 11657969 364534 364534 364534 34265657 33109816 0 1155841 34739903 36649 54919 107691 36500 56894 16142 18619 PPO ACCESS FEES 1080508 PLAN ADMINISTRATION 676497 PCORI FEE 19372 BANK CHARGES 17036 36860730 1279516 957292 3980300 3548463 38923824 37756798 44183640 42262553 116876 132039 116876 132039 X 44066764 42130514 44066764 42130514 44183640 42262553 -2595073 658823 0 X X 0 1 X 1 0 0 34816789 658823 658823 34157966 107691 107691 34265657 36753039 0 36753039 107691 107691 36860730 Form 990, Part VI, Section B, line 11b Form 990 is presented to the Board of Trustees for review. The return is reviewed and accepted. Any changes are made prior to filing. Form 990, Part VI, Section B, line 12c The Organization reviews it's conflict of interest policy on a regular basis, and requires Trustees to acknowledge their adherence to policy guidlines. Form 990, Part VI, Section C, line 19 The Organization makes its financial statements and governing documents available to the public upon written request. Form 990, Part XII, Line 2c: The Board of Trustees are responsible for oversight of the audit. There has been no change on this process. INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #272 1201 NE 75TH AVENUE FT LAUDERDALE FL 33304 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS FL 501 (C) 0 INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #379 10201 EAST US HIGHWAY 92 TAMPA FL 33610 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS FL 501 (C) 0 INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #387 109 SELIG DRIVE SW ATLANTA GA 30336 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS GA 501 (C) 0 INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #402 1001 WEST 15TH STREET RIVIERA BEACH FL 33404 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS FL 501 (C) 0 INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #597 9616 KENTUCKY STREET JACKSONVILLE FL 32218 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS FL 501 (C) 0 INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #709 131 WESTSIDE BLVD POOLER GA 31322 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS GA 501 (C) 0 INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #808 200 EAST LANDSTREET ROAD ORLANDO FL 32824 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS FL 501 (C) 0 INTERNATIONAL ASSOC OF BSOR IRONWORKERS LOCAL #848 7326 PEPPERDAM AVENUE NORTH CHARLESTON SC 29418 ACT AS COLLECTIVE BARGAINING AGENT ON BEHALF OF MEMBERS SC 501 (C) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0