Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| PART I, LINE 1 AND PART III, LINES 1 AND 4A: | THE PLAN IS DESIGNED TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 8,000 MEMBERS, EMPLOYEES, AND DEPENDENTS OF MEMBERS AND EMPLOYEES OF THE HAWAII STATE TEACHERS ASSOCIATION. |
| PART VI, SECTION A, LINE 3: | THE PLAN HAS DELEGATED MANAGEMENT DUTIES TO A THIRD PARTY ADMNINISTRATOR. |
| PART VI, SECTION A, LINE 8B: | THE PLAN DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| PART VI, SECTION B, LINE 11B: | FORM 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES. THE TRUSTEES HAVE DESIGNATED THE CHAIR AND CO-CHAIR TO REVIEW FORM 990 PRIOR TO FILING. |
| PART VI, SECTION B, LINE 12C: | THE PLAN ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN PLACE ANNUALLY. |
| PART VI, SECTION B, LINE 15: | MEMBERS OF THE GOVERNING BODY DO NOT RECEIVE COMPENSATION. |
| PART VI, SECTION C, LINE 19: | THE PLAN DOCUMENT AND ANY OTHER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, INCLUDING THE FINANCIAL STATEMENTS ARE MAINTAINED AT THE PLAN ADMINISTRATOR'S OFFICE AND ARE AVAILABLE UPON WRITTEN REQUEST. |
| PART VII, SECTION A: | ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM RELATED TAX-EXEMPT ORGANIZATIONS IS AVAILABLE ON THOSE ORGANIZATIONS' FORM 990. |
| PART XII, LINE 2C: | THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. |
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