| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | KYFPA HANDLES CLAIM MANAGEMENT AND DATA PROCESSING DUTIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS INSURANCE COMPANIES/ALLIANCES AS MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE INSURANCE COMPANY MEMBERS/ALLIANCES CAN APPOINT FIVE BOARD MEMBERS ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT IS REVIEWED BY THE PLAN MANAGER BEFORE SIGNING THE FORM. |
| FORM 990, PART VI, SECTION B, LINE 12C | EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. ANY CONFLICTS THAT ARISE DURING THE YEAR ARE TO BE SELF-REPORTED TO THE PLAN MANAGER FOR EMPLOYEES OR THE GOVERNING COMMITTEE CHAIR FOR BOARD MEMBERS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION WILL PROVIDE COPIES OF THE DOCUMENTS UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE PART OF THE WISCONSIN ADMINISTRATIVE CODE. FINANCIAL STATMENTS ARE FURNISHED TO THE STATE OFFICE OF THE COMMISSIONER OF INSURANCE. THE DOCUMENTS, STATEMENTS AND CONFLICT OF INTEREST STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT THE PLAN'S OFFICE. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NON-ADMITTED ASSETS -131,348. |
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