Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT OF THE OPERATIONS OF THE WORKERS COMPENSATION AND PROPERTY & LIABILITY INSURANCE POOLS IS DELEGATED TO KENTUCKY LEAGUE OF CITIES INSURANCE SERVICES ASSOCIATION (KLCIS). | |
| FORM 990, PART VI, SECTION A, LINE 4 | THE TRUST AMENDED THE ADMINISTRATION AGREEMENT DURING THE YEAR ENDED JUNE 30, 2011. KENTUCKY SCHOOL BOARD INSURANCE TRUST (KSBIT) AGREES TO PROMPTY DEFEND, INDEMNIFY AND HOLD HARMLESS KENTUCKY LEAGUE OF CITIES (KLC) AND ITS MEMBER OFFICERS, DIRECTORS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS, SUITS, ACTIONS, LIABILITIES, DAMAGES, LOSSES AND EXPENSES, INCLUDING REASONABLE ATTORNEYS FEES, WHICH MAY ARISE OUT OF OR BE INCURRED AS A RESULT OF ANY VIOLATION OR ALLEGED VIOLATION BY KSBIT OF ANY LAW, OR ANY LOSS OR EXPENSE TO KLC CAUSED BY KSBIT'S MISREPRESENTATION, NEGLIGENT ACT OR OMISSION, OR ANY BREACH OF ANY OF KSBIT'S GOOD FAITH EXERCISE OF POWERS OR THE PERFORMANCE OF DUTIES PURSUANT TO THE ADMINISTRATION AGREEMENT, UNLESS DUE TO KLC'S OWN NEGLIGENCE OR WILLFUL MISCONDUCT. KENTUCKY LEAGUE OF CITIES AGREES TO PROMPTLY DEFEND, INDEMNIFY AND HOLD HARMLESS KSBIT AND ITS MEMBER OFFICERS, DIRECTORS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS, SUITS, ACTIONS, LIABILITIES, DAMAGES, LOSSES AND EXPENSES, INCLUDING REASONABLE ATTORNEYS FEES, WHICH MAY ARISE OUT OF OR BE INCURRED AS A RESULT OF ANY VIOLATION OR ALLEGED VIOLATION BY KLC OF ANY LAW, OR ANY LOSS OR EXPENSE TO KSBIT CAUSED BY KLC'S MISREPRESENTATION, NEGLIGENT ACT OR OMISSION, OR ANY BREACH OF ANY OF KLC'S GOOD FAITH EXERCISE OF POWERS OR THE PERFORMANCE OF DUTIES PURSUANT TO THE ADMINISTRATION AGREEMENT, UNLESS DUE TO KSBIT'S OWN NEGLIGENCE OR WILLFUL MISCONDUCT. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE TRUST WILL RELY ON ITS FINANCIAL MANAGEMENT AND OUTSIDE AUDIT FIRM TO PREPARE FORM 990. THE TRUST'S PRESIDENT WILL REVIEW AND SIGN FORM 990 PRIOR TO SUBMITTAL TO THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE TRUSTEE, OR KEY EMPLOYEE AFFIANT IS REQUIRED BY THEIR AFFIDAVIT TO NOTIFY THE TRUST SHOULD A CONFLICT ARISE SUBSEQUENT TO THE SUBMISSION OF THE AFFIDAVIT. THE TRUST OBTAINS AFFIDAVITS FROM TRUSTEES AND ALL EMPLOYEES ANNUALLY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED BY THE GOVERNANCE COMMITTEE WHICH PRESENTS ITS RECOMMENDATION TO THE ENTIRE BOARD FOR DISCUSSION AND APPROVAL. ALL EMPLOYEE SALARIES ARE REVIEWED IN DETAIL BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. FOLLOWING ITS REVIEW THE GOVERNANCE COMMITTEE RECOMMENDS COMPENSATION AMOUNTS TO THE FULL BOARD OF DIRECTORS IN AGGREGATE FOR STAFF SALARIES AND A SPECIFIC AMOUNT FOR THE EXECUTIVE DIRECTOR. THE FULL BOARD DISCUSSES, ACCEPTS AND APPROVES OR AMENDS THESE RECOMMENDED COMPENSATION AMOUNTS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE FILED WITH THE KENTUCKY DEPARTMENT OF INSURANCE ANNUALLY AND ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | FORM 990, PART VII | TOM BLANKENSHIP - 15 RIGSBY ROAD, CRAB ORCHARD, KY 40419. DELMAR D MAHAN - 1875 FRANKFORT SCHOOL ROAD, CORBIN, KY 40701. TOMMY FLOYD - 550 S. KEENELAND DRIVE, RICHMOND, KY 40476. BILL REDWINE - 100 UNIVERSITY BLVD, MOREHEAD, KY 40049. DURWOOD NARRAMORE - 71 ELM STREET, JENKINS, KY 41537. WILLIAM LOVELL - PO BOX 106, LIVERMORE, KY 42352. JOHN PRICE - 792 ANDOVER VILLAGE DRIVE, LEXINGTON, KY 40509. RICKY LINE - 511 WEST UNION STREET, MUNFORDVILLE, KY 42765. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 478,906. DEFICIT BILLINGS 3,486,216. RETURN OF PREMIUMS TO MEMBERS -1,972,760. CAPITAL CONTRIBUTION 77,104. TOTAL TO FORM 990, PART XI, LINE 5: 2,069,466. |
| THE TRUST HAS A COMMITTEE TO OVERSEE THE SELECTION OF THE AUDITOR AND THE AUDIT PROCESS. |
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