2019-11-15T08:57:10-06:00 2018-12-31 311158488 HIRTH NORRIS & GARRISON LLP 2425 OLD STRINGTOWN ROAD GROVE CITY OH 431232919 990 2018-01-01 311306485 COOPERATIVE GROUP BENEFIT TRUST COOP 6147665800 4001 LEXINGTON AVE N ARDEN HILLS MN 551262998 MIKE HIRT TRUSTEE-SEC & TREAS 6147665800 2019-10-14 true TIMOTHY R HARRIS P00194140 6148750803 2019-10-31 204.210.169.51 2019-11-15 08:57:10 CS P BC2AD155EF49E6237D71BDB69687C087139A88AA F2BEB76BA111AB60702FA5B947C4390769ADF387 2018 2020-04-17 16:48:07Z MIKE HIRT 30770469 false X X 1987 OH THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL, DENTAL, VISION AND LIFE INSURANCE FOR ITS PARTICIPATING MEMBERS. 5 5 0 0 0 26029906 29998509 221788 181161 590799 26251694 30770469 0 24654944 30465545 0 0 0 2556925 2661284 27211869 33126829 -960175 -2356360 15042439 12308725 4412423 4057313 10630016 8251412 THE ORGANIZATION IS A MULTIPLE EMPLOYER WELFARE ARRANGEMENT (MEWA) WHICH PROVIDES MEDICAL, DENTAL, VISION AND LIFE INSURANCE FOR ITS PARTICIPATING MEMBERS. false false 33126829 29998509 ALL FUNDS ARE SPENT TO ACCOMPLISH THE TRUST'S PURPOSE WHICH IS DESCRIBED IN LINE 1 ABOVE. 33126829 false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false false false false X 5 5 false false false false false true false true true false false false true true true false false false false false X DAN BROWN 6147665800 4789 RINGS ROAD DUBLIN OH 43017 X MIKE HIRT TRUSTEE-SEC X X 0 0 0 SCOTT LOGUE TRUSTEE X 0 0 0 GEORGE SECOR TRUSTEE-VICE X X 0 0 0 HAROLD COOPER TRUSTEE X 0 0 0 JEFF TROIKE TRUSTEE-CHAI X X 0 0 0 DAN BROWN VP, ADMINIST X 0 0 0 false false false EMPLOYEE BENEFIT MANAGEMENT CORP 4789 RINGS ROAD DUBLIN OH 43017 THIRD PARTY ADM 488028 CIGNA COMPANY 900 COTTAGE GROVE ROAD BLOOMFIELD CT 06002 PPO FEES 420087 2 EMPLOYER(EE) CONTRIBUITONS 29998509 29998509 29998509 181161 181161 STOP LOSS REIMBURSEMENTS 590799 590799 590799 30770469 30770469 30465545 30465545 85800 85800 46285 46285 39654 39654 STOP LOSS INSURANCE PREM 916640 916640 PRECERT & NETWORK ACCESS 812797 812797 PLAN ADMINISTRATION 693533 693533 MISCELLANEOUS 53575 53575 13000 13000 33126829 33126829 0 0 376855 399017 14665584 11909708 15042439 12308725 3547129 3246910 865294 810403 4412423 4057313 X 10630016 8251412 10630016 8251412 15042439 12308725 -2356360 -22244 X false true X true false BANK OVERDRAFT 810403 810403 30748225 -22244 -22244 30770469 30770469 33126829 33126829 33126829 FORM 990, PAGE 6, PART VI, LINE 7A NOTICES ARE SENT TO ALL PARTICIPATING CO-OPS ASKING FOR NOMINATIONS. THEN MEMBERS VOTE ON THOSE NOMINATIONS. FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS PRESENTED TO THE SECRETARY & TREASURER (MR. HIRT) WITH A COPY TO DAN BROWN (PLAN ADMINISTRATOR). MR. HIRT IS AUTHORIZED BY THE TRUSTEES TO FINALIZE THE RETURN. MR. HIRT AND MR. BROWN REPORT AND PRESENT THE 990 FILINGS TO THE BOARD. FORM 990, PAGE 6, PART VI, LINE 12C EACH TRUSTEE AT THE BEGINNING OF EACH YEAR MUST REPORT WHETHER HE/SHE HAS ANY INTEREST IN ANY PARTY DOING BUSINESS WITH THE TRUST. FORM 990, PAGE 6, PART VI, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST BY ANY PARTICIPATING COOPERATIVE OR PARTICIPANT. NOTICES ARE SENT OUT WHEN ANNUAL REPORTS ARE COMPLETE TO PARTICIPATING COOPERATIVES AND PARTICIPANTS THAT COPIES WILL BE PROVIDED UPON REQUEST.