2025-04-09T10:52:45-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55420 990 2023-07-01 421371997 GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST GRIN 6412699700 733 BROAD STREET ACCOUNTING GRINNELL IA 501121690 GERMAINE GROSS VP FOR FINANCE & TREASURER 6412699700 2025-03-14 1 0 STACY MEYER P00970265 6123764500 2025-03-12 2023 2025-03-06 01:10:19Z GERMAINE GROSS 733 BROAD STREET ACCOUNTING GRINNELL IA 501121690 5293098 0 X N/A X 1991 IA PROVIDES GROUP HEALTH INSURANCE FOR ELIGIBLE EMPLOYEES OF GRINNELL COLLEGE. 3 0 0 0 0 0 0 0 11309206 4982827 345502 310271 0 0 11654708 5293098 0 0 9736901 12236097 0 0 0 0 0 1493181 1987663 11230082 14223760 424626 -8930662 11550675 2623743 469 4199 11550206 2619544 PROVIDES GROUP HEALTH INSURANCE FOR ELIGIBLE EMPLOYEES OF GRINNELL COLLEGE. 0 0 PROVIDE GROUP HEALTH INSURANCE FOR ELIGIBLE EMPLOYEES OF GRINNELL COLLEGE WHO CHOOSE TO PARTICIPATE. THE PLAN, ADMINISTERED BY WELLMARK, AS OF JUNE 30 2024, PROVIDES BENEFITS TO APPROXIMATELY 874 ACTIVE EMPLOYEES, EARLY RETIREES AND SURVIVING SPOUSES IN ADDITION TO THEIR ELIGIBLE FAMILY MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1 0 1 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X GERMAINE GROSS 6412699700 733 BROAD STREET ACCOUNTING GRINNELL IA 501121690 ANNE HARRIS TRUSTEE 1.00 60.00 X 0 627118 160926 GERMAINE GROSS TRUSTEE 1.00 60.00 X 0 409550 54438 BERONDA MONTGOMERY TRUSTEE 1.00 60.00 X 0 307128 51388 0 1343796 266752 0 0 1 0 WELLMARK BCBS 636 GRAND AVENUE DES MOINES IA 50309 INSURANCE CLAIMS ADMIN 501538 1 EMPLOYEE PREMIUM CONTR 900099 2554434 2554434 EMPLOYER PREMIUM CONTR 900099 2428393 2428393 4982827 310271 310271 5293098 4982827 0 310271 X 12236097 1626144 PURCHASE OF ANNUITY 361443 76 14223760 189024 3361 747421 535876 12000 12000 10602230 2072506 11550675 2623743 469 1794 0 2405 469 4199 X 0 0 0 0 11550206 2619544 11550206 2619544 11550675 2623743 -8930662 0 X 0 1 X 1 0 0 PENDING SECURITY TRANSACTIONS 2405 2405 X 6751177 1458079 1458079 5293098 0 5293098 16004414 1780654 1780654 14223760 0 14223760 PART X, LINE 2: THE VEBA TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED APRIL 15, 1992, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME-TO-TIME, THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2024 OR 2023 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTIONS RECEIVED BY THE PLAN BUT NOT RECEIVED BY THE TRUST 1,458,079. PART XII, LINE 2D - OTHER ADJUSTMENTS: CLAIMS PAID BY THE PLAN BUT NOT PAID BY THE TRUST 641,301. EXPENSES PAID BY THE PLAN BUT NOT PAID BY THE TRUST 70,901. PREMIUMS PAID BY THE PLAN BUT NOT PAID BY THE TRUST 1,068,452. 0 0 0 ANNE HARRIS TRUSTEE 0 607313 0 1500 0 18305 0 33000 0 127926 0 788044 0 0 GERMAINE GROSS TRUSTEE 0 363447 0 44564 0 1539 0 33000 0 21438 0 463988 0 0 BERONDA MONTGOMERY TRUSTEE 0 300682 0 5000 0 1446 0 30925 0 20463 0 358516 0 0 PART I, LINE 3 THE GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST DOES NOT HAVE ANY EMPLOYEES AND THEREFORE THE PROCESS OF DETERMINING COMPENSATION IS NOT APPLICABLE. THE TRUSTEES OF GRINNELL COLLEGE, A RELATED ORGANIZATION, DOES HAVE SUCH A PROCESS IN PLACE. FORM 990, PART VI, SECTION A, LINE 8B THE GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS MADE AVAILABLE FOR REVIEW TO ALL TRUSTEES PRIOR TO FILING WITH THE IRS. ANY QUESTIONS AND COMMENTS WERE ADDRESSED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST HAS ADOPTED ALL GOVERNANCE AND MANAGEMENT POLICIES OF THE TRUSTEES OF GRINNELL COLLEGE, A RELATED ORGANIZATION. OFFICERS AND TRUSTEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST UNDER THE POLICIES OF THE TRUSTEES OF GRINNELL COLLEGE. ANY CONFLICTS MUST BE DISCLOSED IN WRITING BEFORE ENTERING INTO THE TRANSACTION TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. A TRANSACTION MAY NOT BE ENTERED INTO UNTIL APPROVED BY A VOTE OF AT LEAST TWO-THIRDS BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL REPORT TO THE BOARD OF TRUSTEES ON ALL CONFLICT OF INTEREST TRANSACTIONS CONSIDERED BY IT AT EACH MEETING OF THE BOARD AND, IF REQUESTED BY THE EXECUTIVE COMMITTEE, THE BOARD SHALL CONSIDER WHETHER TO RATIFY THE ACTIONS OF THE EXECUTIVE COMMITTEE WITH RESPECT TO ANY SUCH CONFLICT OF INTEREST TRANSACTION. A CONFLICT OF INTEREST TRANSACTION MAY ONLY BE RATIFIED BY THE AFFIRMATIVE VOTE BY AT LEAST TWO-THIRDS OF THE TRUSTEES PRESENT AND VOTING AT A MEETING OF THE BOARD DULY CALLED AND HELD AFTER THE EXECUTIVE COMMITTEE HAS RECEIVED THE DISCLOSURE. EACH CURRENT MEMBER OF THE BOARD OF TRUSTEES AND EACH OFFICER SHALL FILE A STATEMENT IN JULY OF EACH YEAR WITH THE TREASURER CERTIFYING THAT HE OR SHE HAS READ, AND IS FAMILIAR WITH THE TERMS OF, THIS CONFLICT OF INTEREST POLICY, AND EITHER (A) SETTING FORTH AND DESCRIBING ANY POSSIBLE CONFLICTS OF INTEREST WHICH MAY HAVE ARISEN OR OCCURRED IN THE FISCAL YEAR OF THE COLLEGE ENDING JUNE 30, OR WHICH MAY BE EXPECTED TO ARISE OR OCCUR DURING THE FISCAL YEAR BEGINNING JULY 1, OR (B) THAT HE OR SHE KNOWS OF NO SUCH POSSIBLE CONFLICT OF INTEREST. KEY EMPLOYEES MUST ANNUALLY COMPLETE THE CAMPUS CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH IS REVIEWED BY A COMMITTEE CONSISTING OF MEMBERS FROM THE HUMAN RESOURCES, TREASURER AND DEAN'S OFFICES, RESPECTIVELY. FORM 990, PART VI, SECTION B, LINE 15 THE GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST DOES NOT HAVE ANY EMPLOYEES AND THEREFORE THE PROCESS OF DETERMINING COMPENSATION IS NOT APPLICABLE. THE TRUSTEES OF GRINNELL COLLEGE, A RELATED ORGANIZATION, DOES HAVE SUCH A PROCESS IN PLACE. FORM 990, PART VI, SECTION C, LINE 19 THE GRINNELL COLLEGE MEDICAL BENEFIT PLAN TRUST WILL PROVIDE COPIES OF THE IRS FORM 990, AUDITED FINANCIAL STATEMENTS, AND TRUST AGREEMENT TO THE PUBLIC UPON REQUEST TO THE PLAN ADMINISTRATOR. POLICIES ARE AVAILABLE ON THE GRINNELL COLLEGE WEBSITE. FORM 990, PART IX, LINE 11G CLAIMS ADMINISTRATION EXPENSES 585,556. STOP LOSS PREMIUMS 956,794. WELLNESS PROGRAMMING 83,794. TRUSTEES OF GRINNELL COLLEGE 733 BROAD STREET ACCOUNTING GRINNELL IA 501121690 420680387 HIGHER EDUCATION IA 501(C)(3) LINE 2 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1