2015-01-21T13:45:26-06:00 2014-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2013-07-01 582016361 GEORGIA SCHOOL BOARDS ASSOCIATION WORKERS' COMPENSATION FUND GEOR 7709622985 5120 SUGARLOAF PARKWAY LAWRENCEVILLE GA 30043 JEANNIE M HENRY SECRETARY/TREASURER 7709622985 2015-01-13 1 ALEISA HOWELL P00936721 7709558600 2015-01-13 X 2013 2016-02-25 16:41:14Z JEANNIE M HENRY 5120 SUGARLOAF PARKWAY LAWRENCEVILLE GA 30043 31817955 0 X WWW.GSBA.COM X INTERLOCAL RISK MANAGEMENT AGENCY 1992 GA SEE SCHEDULE O FOR COMPLETE DESCRIPTION.THE MISSION OF THE GEORGIA SCHOOL BOARDS ASSOCIATION WORKERS'COMPENSATION FUND IS TO PARTNER WITH LOCAL SCHOOL SYSTEMS TO PROTECTASSETS AND MINIMIZE LOSSES THROUGH SUPERIOR CUSTOMIZED ALTERNATIVES TOTRADITIONAL INSURANCE WHILE MAINTAINING FINANCIAL INTEGRITY. 9 9 0 9 0 0 0 0 10386297 10486518 1694250 1287675 0 0 12080547 11774193 0 0 0 0 0 0 0 0 0 13231082 8312998 13231082 8312998 -1150535 3461195 35646498 40077373 24737744 24596284 10908754 15481089 X THE MISSION OF THE GEORGIA SCHOOL BOARDS ASSOCIATION WORKERS'COMPENSATION FUND IS TO PARTNER WITH LOCAL SCHOOL SYSTEMS TO PROTECTASSETS AND MINIMIZE LOSSES THROUGH SUPERIOR CUSTOMIZED ALTERNATIVES TOTRADITIONAL INSURANCE WHILE MAINTAINING FINANCIAL INTEGRITY. 0 0 7707659 10486518 DEVELOP, IMPLEMENT, AND ADMINISTER A PROGRAM OF WORKERS' COMPENSATIONSELF INSURANCE FOR ITS MEMBER ORGANIZATIONS.GSBA WORKER'S COMPENSATION FUND OFFERS PROTECTION THROUGH ITS GROUP-SELF-INSURANCE PLANS FOR WORKERS' COMPENSATION. THE ORGANIZATION PARTNERS WITH GEORGIA PUBLIC SCHOOL SYSTEMS AND GOES FAR BEYOND THE NORMAL SERVICE FROM A COMMERCIAL INSURANCE BROKER. THE STAFF BUILDS RELATIONSHIPS WITH ITS MEMBERS AND PROVIDES TRAINING AND INFORMATION TO ASSIST MEMBERS IN SUCCESSFULLY MANAGING THEIR RISKS.THE GSBA WORKERS' COMPENSATION FUND PROVIDES SCHOOL DISTRICTS AN ALTERNATIVE TO PURCHASING TRADITIONAL INSURANCE. KEEPING EMPLOYEES ON THE JOB, WHETHER IT'S IN THE CLASSROOM, ON THE SCHOOL BUS OR IN THE CAFETERIA THROUGH TARGETED LOSS PREVENTION STRATEGIES AND COMPREHENSIVE CLAIMS MANAGEMENT, IS THE KEY TO CONTINUED SUCCESS. 7707659 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 GA X MARK WILLIS 7709622985 5120 SUGARLOAF PARKWAY LAWRENCEVILLE GA 30043 RONALD HOPKINS CHAIRMAN 0.50 1.00 X X 0 0 0 JOE WHITE TRUSTEE 0.50 X 0 0 0 BRETT STANTON TRUSTEE 0.50 X 0 0 0 TONI WILLIAMS TRUSTEE 0.50 X 0 0 0 SCOTT COWART TRUSTEE 0.50 X 0 0 0 VERNON PAYNE TRUSTEE 0.50 1.00 X 0 0 0 CLIFF COLE TRUSTEE 0.50 X 0 0 0 RONDA HALE TRUSTEE 0.50 X 0 0 0 JEANNIE M HENRY SECRETARY/TREASURER 4.00 40.00 X 0 214722 32379 0 214722 32379 0 0 1 0 GEORGIA SCHOOL BOARDS ASSOCIATION 5120 SUGARLOAF PARKWAY LAWRENCEVILLE GA 30043 MANAGEMENT, MEMBER SERVICES, UNDERWRITIN 610407 UNDERWRITER'S SAFETY AND CLAIMS 1700 EASTPOINT PARKWAY LOUISVILLE KY 40223 CLAIMS MANAGEMENT 298214 MARSH INC PO BOX 100357 ATLANTA GA 30384 BROKERAGE FEES 135350 3 FUND CONTRIBUTIONS 525190 10486518 10486518 10486518 792489 792489 20538948 20043762 495186 495186 495186 11774193 10486518 0 1287675 254133 254133 12000 12000 12493 12493 114464 114464 287128 287128 4583 4583 29259 29259 4264 4264 18347 18347 ESTIMATED & ACTUAL CLAI 6334999 6334999 EXCESS INSURANCE COSTS 508414 508414 CLAIMS MANAGEMENT 352400 352400 MEMBERSHIP DEVELOPMENT 155021 155021 225493 224718 775 8312998 7707659 605339 0 813522 541313 5121430 8569064 1421006 659387 122128 117539 28018508 30014613 149904 175457 35646498 40077373 465368 490323 67735 142798 24204641 23963163 24737744 24596284 X 10908754 15481089 10908754 15481089 35646498 40077373 3461195 1111140 0 X X 0 1 X 1 0 X X X 0 0 0 GEORGIA SCHOOL BOARD ASSOCIATION 581077259 9 0 1 1 0 1 0 0 CLAIMS RESERVE 21866469 UNALLOCATED LAE RESERVE 823397 SITF RESERVE 1273297 23963163 12885333 1111140 1111140 11774193 0 11774193 8312998 0 8312998 0 8312998 FORM 990 SCHEDULE D PART X LINE 2 THE ORGANIZATION HAS NO UNCERTAIN TAX LIABILITIES REPORTED ON THE AUDITED FINANCIAL STATEMENTS UNDER ASC 740-10. 0 0 0 0 0 0 0 0 0 JEANNIE M HENRY SECRETARY/TREASURER 0 204388 0 5261 0 5073 0 21630 0 10749 0 247101 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE GEORGIA SCHOOL BOARDS ASSOCIATION WORKERS COMPENSATION FUND, (THE "FUND") HAS CONTRACTED WITH A RELATED ENTITY, THE GEORGIA SCHOOL BOARDS ASSOCIATION, INC. (THE "ASSOCIATION"), TO PROVIDE ADMINISTRATIVE SERVICES TO THE FUND. ADMINISTRATIVE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, USE OF THE ASSOCIATION'S NAME, OFFICE, STAFF, OVERHEAD ITEMS AND RELATED EXPENSES TO CARRY OUT THE DAY-TO-DAY OPERATIONS OF THE FUND. THE ASSOCIATION ALSO PROVIDES VARIOUS CLAIMS, MARKETING/MEMBER DEVELOPMENT, UNDERWRITING, AND RISK IMPROVEMENT SERVICES TO MEMBERS OF THE FUND. JEANNIE M. HENRY, OFFICER FOR THE FUND WAS COMPENSATED BY THE ASSOCIATION. THE COMPENSATION IS REPORTED IN PART VII. FORM 990, PART VI, SECTION A, LINE 6 GEORGIA SCHOOL BOARDS ASSOCIATION, INC. AND SEVERAL SCHOOL SYSTEMS IN THE STATE OF GEORGIA ARE MEMBERS OF THE GEORGIA SCHOOL BOARDS ASSOCIATION WORKERS' COMPENSATION FUND. DURING THE YEAR ENDED 6/30/2014 THERE WERE 44 MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES ARE ELECTED BY THE MEMBERS OF THE FUND, UNLESS A VACANCY OCCURS DURING THE TERM, IN WHICH CASE THE EXECUTIVE DIRECTOR OF GEORGIA SCHOOL BOARDS ASSOCIATION, INC., WITH INPUT FROM OTHERS, RECOMMENDS INDIVIDUALS FOR THE VACANT TRUSTEE POSITION AND THE EXISTING TRUSTEES VOTE TO ELECT. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CONTROLLER, EXECUTIVE DIRECTOR AND THE ASSISTANT EXECUTIVE DIRECTOR OF GEORGIA SCHOOL BOARDS ASSOCIATION, INC. AND POSTED FOR TRUSTEE REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF TRUSTEES WILL SUBMIT AN ANNUAL REPORT ON A FORM PROVIDED BY THE FUND TO IDENTIFY ANY POTENTIAL CONFLICTS. THE FORMS WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE WHICH WILL DISCUSS ANY POTENTIAL CONFLICT WITH THE INDIVIDUAL TRUSTEE AND, IF NECESSARY, REFER ANY ISSUE OF POTENTIAL VIOLATION OF THE POLICY TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 REGARDING COMPENSATION: THE FUND HAS NO EMPLOYEES BUT THE BOARD DOES APPROVE MANAGEMENT FEES PAID TO GEORGIA SCHOOL BOARDS ASSOCIATION, INC. WHICH PROVIDES MANAGEMENT SERVICES FOR THE FUND. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. FORM 990 PART XII LINE 2C THE ORGANIZATION UTILIZES A JOINT AUDIT COMMITTEE WITH THE GEORGIA SCHOOL BOARDS ASSOCIATION RISK MANAGEMENT FUND FOR THE PURPOSE OF EVALUATING EXTERNAL AUDITOR RELATIONSHIP AND COMMUNICATING WITH OUR AUDITORS. THE AUDIT COMMITTEE IS A JOINT GSBA WORKERS' COMPENSATION FUND/GSBA RISK MANAGEMENT FUND COMMITTEE THAT SERVES AS A TRUSTEES' POINT OF CONTACT FOR THE FINANCIAL AUDITORS. IN ADDITION, THE COMMITTEE MAY ALSO: -PERIODICALLY REVIEW AUDITOR RELATIONSHIP -RESOLVE DISAGREEMENTS BETWEEN MANAGEMENT AND THE AUDITORS REGARDING FINANCIAL REPORTING -RECEIVE AUDIT REPORTS FROM THE AUDITORS THE ORGANIZATION CONTINUES TO USE THE SERVICES OF THE SAME AUDITING FIRM THAT WAS AWARDED THE AUDIT BID PREVIOUSLY. THERE HAVE BEEN NO CHANGES TO THE AUDIT AND FINANCIAL STATEMENT OVERSIGHT PROCESS. GEORGIA SCHOOL BOARD ASSOCIATION INC 5120 SUGARLOAF PARKWAY LAWRENCEVILLE GA 30043 581077259 PROVIDES LEADERSHIP, ADVOCACY AND SERVICES TO LOCAL SCHOOL SYSTEMS. GA 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0