2015-08-16T14:20:43-05:00 2014-10-31 621802605 DANIELS IRWIN & AYLOR 223 MADISON STREET SUITE 112 MADISON TN 371153660 990 2013-11-01 237153308 TENNESSEE VALLEY OPERATING ENGINEERS HEALTH FUND TENN 6158590131 PO BOX 1449 GOODLETTSVILLE TN 370701449 JOHN M HOLLIDAY III CHAIRMAN 6158590131 2015-08-10 DOUGLAS A IRWIN P01363756 6158686008 2015-08-16 2013 2016-03-07 17:11:31Z 7860439 false X X 1970 TN THE PROVISION OF BENEFITS TO PARTICIPANTS. 7 7 13 0 0 7063979 7683515 65513 91364 133616 85560 7263108 7860439 0 8032856 5886749 3760 4162 0 0 628101 627444 8664717 6518355 -1401609 1342084 5793188 6184940 4668824 3718492 1124364 2466448 THE PROVISION OF BENEFITS TO PARTICIPANTS. false false THE PROVISION OF HEALTH, DENTAL, VISION, TEMPORARY DISABILITY AND DEATH BENEFITS TO PLAN PARTICIPANTS. false false false false false false false false false false false false false false 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 886 0 true 13 true false false false false false false X 7 7 true true false false false true false true true false false true true true true true true true true false X SOUTHERN BENEFIT ADMINISTRATORS 6158590131 2001 CALDWELL DRIVE GOODLETTSVILLE TN 37072 X JOHN M HOLLIDAY III CHAIRMAN 2.00 X 0 0 0 MELVIN J SCHUSTER JR SECRETARY 2.00 X 0 0 0 DAVID RHEA TRUSTEE 2.00 X 0 0 0 CHARLES L CROWDEN TRUSTEE 2.00 X 0 0 0 F DOUGLASS STEIN TRUSTEE 2.00 X 0 0 0 WAYNE WELLS TRUSTEE 2.00 X 0 0 0 KEITH HOPPER TRUSTEE 2.00 X 0 0 0 false false false SOUTHERN BENEFIT ADMINISTRATORS 2001 CALDWELL DR GOODLETTSVILLE TN 37072 ADMINISTRATION 264453 CIGNA 1111 MARKET ST CHATTTANOOGA TN 37402 PPO 263749 2 EMPLOYER CONTRIBUTIONS 6980399 6980399 EMPLOYEE CONTRIBUTIONS 703116 703116 7683515 91364 91364 FORMULARY REBATES 42799 42799 CLAIMS REFUNDS 38310 38310 LATE PENALTIES 4451 4451 85560 7860439 7769075 91364 5886749 4162 254000 17759 14100 274202 5760 5486 33952 FIDUCIARY LIABILITY INSUR 8374 BANK CHARGES 8362 PCORI FEE 4158 IFEBP DUES 810 481 6518355 0 0 0 669450 689644 689048 770272 9337 8306 4425353 4716718 5793188 6184940 4668824 3718492 4668824 3718492 X 1124364 2466448 1124364 2466448 5793188 6184940 1342084 X false true X true false 7860439 7860439 7860439 6518355 6518355 6518355 FORM 990, PAGE 6, PART VI, LINE 2 OPERATING ENGINEERS LOCAL 917 OPERATING ENGINEERS LOCAL 917 CHAIRMAN TRUSTEE WORK FOR SAME LOCAL. FORM 990, PAGE 6, PART VI, LINE 3 SOUTHERN BENEFIT ADMINISTRATORS, INC. FORM 990, PAGE 6, PART VI, LINE 7A THE EMPLOYER TRUSTEES ARE APPOINTED TO THE BOARD BY THE EMPLOYERS ASSOCIATION AND THE UNION TRUSTEES ARE APPOINTED BY THE UNION. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES. IT IS THEN SIGNED AND FILED. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICTS OF INTEREST ARE REVIEWED CONTINUALLY AND ANY ISSUES THAT ARISE ARE HANDLED AT REGULAR BOARD MEETINGS. FORM 990, PAGE 6, PART VI, LINE 15A THE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 15B THE MEMBERS OF THE BOARD OF TRUSTEES ARE NOT COMPENSATED IN ANY WAY. A THIRD PARTY ADMINISTRATOR WAS HIRED BY THE BOARD OF TRUSTEES TO MANAGE THE FUND AND WAS SELECTED, HAD ITS QUALIFICATIONS REVIEWED AND COMPENSATION DETERMINED BY COMPETITIVE COMPARISON BY THE ENTIRE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 19 AVAILABLE UPON REQUEST. ALL COMMUNICATIONS INCLUDE REFERENCE TO DOCUMENTS BEING AVAILABLE UPON REQUEST.