Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990 - Organization's Mission or Most Significant Activities | To provide dental, vision, and flex medical coverage for plan enrollees and their immediate family where applicable. Also, to provide group life and accidental death & dismemberment insurance coverage. |
| Form 990, Part I, Line 6 | Volunteers assist the Trustees in disseminating information on plan benefits, appeals and procedures, to those who are not able to attend board meeting. In some cases, the volunteers will chair certain committees as further assistance to the plan and trustees. |
| Form 990, Part III, Line 4d - All other Accomplishment | Flexible medical Benefits for 283 plan members. |
| Form 990, Part VI, Line 3 - Management Delegated | The payment of benefits and the books of account are maintained by Insurance Programmers, Inc. for the dental portion only. The vision plan is maintained internally. Management of the fund or plan activities is controlled by the Trustees with assistance from the plan administrators (aka IPI). |
| Form 990, Part VI, Line 11B - Organization's Process to Review Form 990 | Upon completion of the federal tax return, for 990, a copy of such is forwarded to both the plan chairperson abd the plan administrators prior to filing. In the event changes are required the accounting office is notified and the obligatory adjustments are made. In the event there are no changes to be made, then the plan chairperson signs form 8879-EO and returns it to the accountants, constituting their approval for content and electronic filing with the IRS. |
| Form 990, Part VI, Line 19 - Governing Documents Disclosure Explanation | There are a variety of methods of making documents available to those who inquire. The individual can request copies to be forwarded to them over the internet, fax or they can come into the administrators facilities and review the documents there. Telephone is another method used along with photocopies of the requested documents, which can be made and mailed accordingly. In all cases, however, no information is given out that will jeopardize one's confidentiality or go askew of the HIPPA laws. |
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