2013-03-27T08:20:32-07:00 2012-12-31 JAMES MARTA & CO LLP 701 HOWE AVE STE E3 SACRAMENTO CA 958254688 990 2012-01-01 200406647 Credit Union Self-Insured Group of California CRED 9169833387 PO Box 7138 Folsom CA 95763 Clay Jackson 2013-03-26 true James Marta P00358520 9169939494 X 2012 2016-02-25 16:41:14Z 3762153 false false X www.affinitygroupadmin.com As an organization established for the exclusive support of exempt credit unions, it provides California Credit Unions with a low-cost alternative to workers' compensation insurance. 5 6 0 0 0 2915719 3549005 152099 213148 0 3067818 3762153 0 0 0 0 0 3380094 3073953 3380094 3073953 -312276 688200 12229362 13703582 8480223 9266243 3749139 4437339 As an organization established for the exclusive support of exempt credit unions, it provides California Credit Unions with a low-cost alternative to workers' compensation insurance. false false 3073953 As support organization established for the exclusive support of exempt credit unions, the organization provides California Credit Unions with a low cost alternative to workers' compensation insurance. 3073953 false false false false false false false false false false false false false true 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 false false false false false false false true 3 0 false 0 false false false false false false false false false false false false false X 5 6 false true false false true false false true false false false false false false false false false false false false X Gene Axtell 9169833387 1568 Creekside Drive Folsom CA 95630 X Lisa Pesta 0.50 0.00 0 0 0 Tom Gray 0.50 0.00 0 0 0 Ed Cassidy 0.50 0.00 0 0 0 Virginia Wade 0.50 0.00 0 0 0 Kevin Carlson 0.50 0.00 0 0 0 0 false false false Risk Statregies Company 160 Federal Street Boston MA 02110 Broker 356531 Affinity Group Administrators 1568 Creekside Drive Suite 106 Folsom CA 95630 Program Admin. 345092 2 0 Member Contribution Ins. 3549005 3549005 3549005 213148 213148 0 0 0 0 0 0 0 0 3762153 3549005 213148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Professional Fees 264005 264005 Excess Insurance 340151 340151 Administration Fees 345123 345123 Claims Expense 1822012 1822012 302662 302662 3073953 3073953 0 0 429719 587406 0 0 14636 0 0 0 0 13439 5000 0 0 0 0 0 11786204 13096540 12229362 13703582 8480223 9266243 8480223 9266243 X 3749139 4437339 3749139 4437339 12229362 13703582 688200 X false true X true false Security Fund Deposits Held in Trust 3645998 13096540 Unallocated Loss Adjustment Payable 1035319 Payable to Members 5189 Members' Security Fund Deposits 1282983 Incurred Loss Payable 2851038 Incurred But Not Reported 4051055 Accounts Payable 40659 9266243 3762153 3762153 3762153 3073953 3073953 3073953 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organization's governing documents,conflict of interest policy,and financial statements are not available to the public. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the management company based on audited financial statements approved by the governing board. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Members comprise of California Credit Unions Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Day to day program administration including receipts and disbursements processing was delegated to a management company.