Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | the form 990 tax return was provided to the chairman and secretary for their review before it was filed. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | the plan regularly and consistently monitors and enforces compliance with the applicable policies. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | the plan documents, conflict of interest policy, and financial statements are available to the participants and public |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Accumulated eligibility credits 2017 = $14057000 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Accumulated eligibility credits 2018 = -$14754000 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Aetna Claims Payable 2017 = $797873 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Aetna claims payable 2018 = -$539450 |
| Software ID: | 17005038 |
| Software Version: | 2017v2.2 |