2013-11-14T07:21:00-06:00 2013-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2012-07-01 582016361 GEORGIA SCHOOL BOARDS ASSOCIATION WORKERS' COMPENSATION FUND GEOR 7709622985 5120 SUGARLOAF PARKWAY LAWRENCEVILLE GA 30043 JEANNIE M HENRY 7709622985 2013-11-12 1 JEFF T FUCITO P00120748 7709558600 2013-11-12 X 2012 2016-02-25 16:41:14Z JEANNIE M HENRY 5120 SUGARLOAF PARKWAY LAWRENCEVILLE GA 30043 36960903 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 10079313 10386297 668808 1694250 0 0 10748121 12080547 0 0 0 0 0 0 0 0 0 11831911 13231082 11831911 13231082 -1083790 -1150535 33627412 35646498 20934104 24737744 12693308 10908754 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 12520826 10386297 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. 12520826 1 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 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 0.50 1.00 X X 0 0 0 JOE WHITE 0.50 X 0 0 0 BRETT STANTON 0.50 X 0 0 0 TONI WILLIAMS 0.50 X 0 0 0 SCOTT COWART 0.50 X 0 0 0 JAY BRINSON 0.50 X 0 0 0 VERNON PAYNE 0.50 1.00 X 0 0 0 CLIFF COLE 0.50 X 0 0 0 RON HALE 0.50 X 0 0 0 JEANNIE M HENRY 4.00 40.00 X 0 215901 31814 0 215901 31814 0 0 1 0 UNDERWRITER'S SAFETY AND CLAIMS 1700 EASTPOINT PARKWAY LOUISVILLE KY 40223 CLAIMS MANAGEMENT 303504 MARSH INC PO BOX 100357 ATLANTA GA 30384 BROKERAGE FEES 135350 2 FUND CONTRIBUTIONS 525190 10386297 10386297 10386297 723844 723844 25850762 24880356 970406 970406 970406 12080547 10386297 0 1694250 292748 292748 12000 12000 9800 9800 116211 116211 264032 261331 2701 4557 2500 2057 30068 30068 4732 4732 18201 18201 ESTIMATED & ACTUAL CLAI 10491871 10491871 SITF ASSESSMENTS 596463 596463 EXCESS INSURANCE COSTS 501948 501948 CLAIMS MANAGEMENT 353069 353069 535382 313644 221738 13231082 12520826 710256 0 1403709 813522 3044862 5121430 1859794 1421006 117885 122128 27049847 28018508 151315 149904 33627412 35646498 530067 465368 244182 67735 20159855 24204641 20934104 24737744 X 12693308 10908754 12693308 10908754 33627412 35646498 -1150535 -634019 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 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: THE GSBA WORKERS' COMPENSATION FUND PROVIDES SUPPORT TO GSBA BY PROVIDING GSBA MEMBER SCHOOL DISTRICTS AN ALTERNATIVE TO PURCHASING TRADITIONAL LIABILITY INSURANCE. THIS IS THE ONLY SOURCE OF RISK PROTECTION DEDICATED TO GEORGIA PUBLIC SCHOOLS. THE FUND OFFERS A COMPREHENSIVE PROGRAM FOR PROPERTY AND CASUALTY COVERAGE THAT MEETS OR EXCEEDS THE NEEDS OF GSBA MEMBER SCHOOL DISTRICTS. 0 CLAIMS RESERVE 21705900 UNALLOCATED LAE RESERVE 808454 SITF RESERVE 1690287 24204641 11446528 -634019 -634019 12080547 0 12080547 13231082 0 13231082 0 13231082 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 0 204388 0 6434 0 5079 0 21630 0 10184 0 247715 0 0 SUPPLEMENTAL INFORMATION PART III COMPENSATION REPORTED ON SCHEDULE J IS PAID ONLY BY GEORGIA SCHOOL BOARDS ASSOCIATION, INC. THE COMPENSATION REPORTED ON THIS SCHEDULE IS THE TOTAL FOR ALL RELATED ENTITIES. JEANNIE HENRY PRIMARILY PERFORMS SERVICES FOR GEORGIA SCHOOL BOARDS ASSOCATION, INC. 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 6/30/2013 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. 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