Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DAY TO DAY ADMINISTRATIVE TASKS OF THE TRUST WERE CONTRACTED OUT TO A THIRD PARTY ADMINISTRATOR, VIMLY BENEFIT SOLUTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PROVIDED TO THE BOARD CHAIRMAN AND THIRD PARTY ADMINISTRATOR BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12 | AS A STATE-REGULATED, SELF-FUNDED HEALTHC ARE PLAN, THE TRUST IS SUBJECT TO IDAHO CODE SECTION 41-4015 (PROHIBITED PECUNIARY INTEREST IN PLAN MANAGEMENT). |
| FORM 990, PART VI, SECTION C, LINE 19 | THE TRUST'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE PUBLIC RECORDS AVAILABLE TO THE PUBLIC FROM THE IDAHO DEPARTMENT OF INSURANCE. |
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