Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | COPY OF FORM 990 PROVIDED TO ALL MEMBERS OF GOVERNING BODY FOR REVIEW PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | NO ENFORCEMENT OF CONFLICT OF INTERESTS POLICIES HAVE BEEN REQUIRED. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | BOARD COMPENSATION WAS REVIEWED FOR COMPARABILITY AND REASONABLENESS. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | ANTHEM - CLAIMS PROCESSING 567,117 0 0 MEDCO - CLAIMS PROCESSING 39,341 0 0 ACTUARIAL FEE 18,500 0 0 DUNN - ELIGIBILITY ADMIN. 172,836 0 0 NBI - TRUSTEE FEES 94,081 0 0 VAN EPPS - INSURANCE ADMIN. 28,674 0 0 |
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