Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | OPERATING REVENUE (PREMIUMS) ARE COLLECTED BY A THIRD PARTY ADMINISTRATOR THAT ALSO DISBURSES HEALTH INSURANCE PREMIUMS TO INSURANCE CARRIERS AND OTHER VENDORS. IT ALSO PAYS ALL THE OPERATING COSTS FOR THE TRUST. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS EITHER MAILED OR EMAILED TO ALL TRUSTEES FOR THEIR REVIEW AND QUESTIONS. AFTER ALL QUESTIONS HAVE BEEN ANSWERED,AND AFTER ANY CORRECTIONS, THE RETURN IS SIGNED AND FILED. | |
| FORM 990, PART VI, SECTION C, LINE 18 | STATEMENTS ARE AVAILIBLE TO THE GENERAL PUBLIC AND CAN BE REVIEWED AT THE OFFICE DURING NORMAL BUSINESS HOURS. COPIES OF THE FORMS WILL BE PROVIDED WITHIN 30 DAYS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | STATEMENTS AVAILIBLE TO THE GENERAL PUBLIC CAN BE REVIEWED AT THE OFFICE DURING NORMAL BUSINESS HOURS. COPIES OF THE DOCUMENTS WILL BE PROVIDED WITHIN 30 DAYS. | |
| THE BOARD OF TRUSTEES ACTS AS THE REPONSIBLE COMMITTEE TO REVIEW AND APPROVE THE AUDIT. |
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