2021-07-28T12:37:01-05:00 2020-10-31 231144520 TAIT WELLER & BAKER LLP 50 SOUTH 16TH STREET SUITE 2900 PHILADELPHIA PA 19102 990 2019-11-01 467526272 PHILA AREA INDPDNT SCHOOL BUSINESS PHIL 4845808844 301 IVEN AVENUE NO 315 WAYNE PA 19087 GUY GILPIN EXECUTIVE DIRECTOR 4845808844 2021-07-28 1 HARRISON PEREIRA P00746867 2159798800 2021-07-26 2019 2022-09-23 18:48:47Z GUY GILPIN 301 IVEN AVENUE NO 315 WAYNE PA 19087 154432958 0 X N/A X 2014 PA THE PAISBOA HEALTH BENEFIT TRUST IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) TREATED AS A SINGLE EMPLOYEE BENEFIT PLAN UNDER ERISA. ITS SOLE PURPOSE IS TO PROVIDE THE BENEFITS UNDER THE PAISBOA HEALTH BENEFIT PLAN. 15 15 3 15 0 0 0 0 102064423 108034507 616606 401231 131563 178950 102812592 108614688 0 0 0 0 488093 520839 0 0 0 99138725 91826451 99626818 92347290 3185774 16267398 36368831 54483216 16047552 21362839 20321279 33120377 THE PAISBOA HEALTH BENEFIT TRUST IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) TREATED AS A SINGLE EMPLOYEE BENEFIT PLAN UNDER ERISA. ITS SOLE PURPOSE IS TO PROVIDE THE BENEFITS UNDER THE PAISBOA HEALTH BENEFIT PLAN. 0 0 84788538 108034507 BENEFITS UNDER THE PAISBOA HEALTH BENEFIT PLAN ARE CURRENTLY LIMITED TO MEDICAL, DENTAL, AND VISION BENEFITS. APPROXIMATELY 130 INDEPENDENT EDUCATIONAL INSTITUTIONS THAT ARE MEMBERS OF PAISBOA PARTICIPATE IN THE PAISBOA HEALTH BENEFIT PLAN, FUNDED BY THE PAISBOA HEALTH BENEFIT TRUST. 84788538 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 X JOAN BARONE 4845808844 301 IVEN AVENUE SUITE 315 WAYNE PA 19087 MARTHA SCACHE CHAIR 1.00 X X 0 0 0 MICHELE B TODD DIRECTOR 1.00 X 0 0 0 CHRISTINE SCHAEFER DIRECTOR 1.00 X 0 0 0 HEATHER H GELTING DIRECTOR 1.00 X 0 0 0 ALAN JOFFE DIRECTOR 1.00 X 0 0 0 CYNTHIA NICHOLS DIRECTOR 1.00 X 0 0 0 THOMAS TAFT VICE CHAIR 1.00 X X 0 0 0 DONALD KATES TREASURER 1.00 X X 0 0 0 KRISTIN HEASLEY DIRECTOR 1.00 X 0 0 0 CLAUDINE VITA DIRECTOR 1.00 X 0 0 0 FRANK V ALOISE JR DIRECTOR 1.00 X 0 0 0 HAL DAVIDOW DIRECTOR 1.00 X 0 0 0 TIMOTHY S WALSH SECRETARY 1.00 X X 0 0 0 MARK MURRAY DIRECTOR 1.00 X 0 0 0 TIMOTHY WOODS DIRECTOR 1.00 X 0 0 0 GUY GILPIN EXECUTIVE DIRECTOR 40.00 X 146078 0 15028 JOAN M BARONE ASSOCIATE DIRECTOR 40.00 X 200000 0 20709 346078 0 35737 2 0 1 0 ARMSTRONG DOYLE & CARROLL 1285 DRUMMERS LANE WAYNE PA 19087 BENEFITS CONSULTING 1278878 PLANSOURCE 101 SOUTH GARLAND AVE ORLANDO FL 32801 EMPLOYEE BENEFITS SOFTWARE 528251 2 MEMBER CONTRIBUTIONS 900099 108034507 108034507 108034507 378815 378815 45840686 45818270 22416 22416 22416 WELLNESS ALLOWANCE 900099 131121 131121 COMMISSIONS INCOME 900099 47829 47829 178950 108614688 108034507 0 580181 247439 247439 207698 207698 14428 14428 23314 23314 27960 27960 3498 3498 92653 92653 18500 18500 40812 40812 1377177 1377177 20179 20179 27587 27587 360000 360000 42000 42000 3975 3975 1513 1513 72192 72192 CLAIMS PAID 80906716 80906716 CLAIMS PROCESSOR 4877816 4877816 INSURANCE PREMIUMS 2040677 2040677 ADMINISTRATOR 594875 594875 1346281 1320306 25975 92347290 84788538 7558752 0 49614 50398 21011120 21007178 5228694 6415194 3879 3135 10075524 25524311 0 1483000 36368831 54483216 36996 24071 8204362 10078167 7806194 11260601 16047552 21362839 X 20321279 33120377 20321279 33120377 36368831 54483216 X 16267398 -13893 -3454407 X 0 1 X 1 0 0 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 11260601 11260601 X 108559983 -13893 -13893 108573876 40812 40812 108614688 92306478 0 92306478 40812 40812 92347290 PART X, LINE 2: MANAGEMENT HAS REVIEWED THE TAX POSITIONS TAKEN IN THE PLAN'S FISCAL YEAR 2017-2019 TAX RETURNS AND EXPECTED TO BE TAKEN IN THE PLAN'S FISCAL YEAR 2020 TAX RETURN AND HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. 0 0 0 GUY GILPIN EXECUTIVE DIRECTOR 146078 0 0 0 0 0 9216 0 5812 0 161106 0 0 0 JOAN M BARONE ASSOCIATE DIRECTOR 150000 0 50000 0 0 0 12000 0 8709 0 220709 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERSHIP IS COMPRISED OF PARTICIPATING SCHOOLS WHO BELONG TO THE PHILADELPHIA AREA INDEPENDENT SCHOOL BUSINESS OFFICERS ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S BOARD OF TRUSTEES MUST BE EMPLOYEES OF PARTICIPATING MEMBER SCHOOLS AND ARE ELECTED BY PARTICIPATING MEMBERS. THE MEMBER SCHOOLS' CONTRIBUTIONS ARE BASED UPON RATES ESTABLISHED WITH INPUT FROM ACTUARIAL AND BENEFIT ADVISORY CONSULTANTS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS CIRCULATED AMONG THE BOARD MEMBERS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET INCREASE IN BENEFIT OBLIGATIONS -3,454,407.