IBA GROUP INSURANCE TRUST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
IBA GROUP INSURANCE TRUST (EIN 35-6259970)
Tax period
2011-05-01 to 2012-04-30
Filed
2012-12-12
IRS object ID
201213479349300806
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-12-12T14:57:21-06:00Timestamp
Tax Period End Date2012-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1L M HENDERSON & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1450 E 96TH ST STE 200AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46240ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN356259970EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1IBA GROUP INSURANCE TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlIBAGNameControl
Phone3178794040Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18910 PURDUE ROADAddressLine1
Address Line2ROOM/SUITE 301AddressLine2
CityINDIANAPOLISCity
StateINState
ZIP Code46268ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameS JOE DEHAVENName
TitleTRUSTEETitle
Phone3178794040Phone
Date Signed2012-11-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWILLIAM J BLASERName
Phone3175661000Phone
Date Prepared2012-11-20DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonS JOE DEHAVENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18910 PURDUE ROAD SUITE 301AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46268ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36278731GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1957YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE LIFE, ACCIDENT, AND SICKNESS BENEFITS TO ELIGIBLE PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39663840ProgramServiceRevenuePriorYear
Program Service Revenue CY35025165ProgramServiceRevenueCY
Investment Income Prior Year732724InvestmentIncomePriorYear
Investment Income Current Year275783InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year40396564TotalRevenuePriorYear
Total Revenue Current Year35300948TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year38080310BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY29977987BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2011369OtherExpensePriorYear
Other Expenses Current Year2990223OtherExpensesCurrentYear
Total Expenses Prior Year40091679TotalExpensesPriorYear
Total Expenses Current Year32968210TotalExpensesCurrentYear
Revenues Less Expenses Prior Year304885RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2332738RevenuesLessExpensesCY
Total Assets BOY11162131TotalAssetsBOY
Total Assets EOY13512976TotalAssetsEOY
Total Liabilities BOY5104343TotalLiabilitiesBOY
Total Liabilities EOY5316224TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6057788NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8196752NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE LIFE, ACCIDENT, AND SICKNESS BENEFITS TO ELIGIBLE PARTICIPANTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTO PROVIDE LIFE, ACCIDENT, AND SICKNESS BENEFITS TO ELIGIBLE PARTICIPANTS.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPRINCIPAL FINANCIAL GROUPNamePerson
Telephone Number3178794040TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18910 PURDUE ROAD SUITE 301AddressLine1
Address Line28910 PURDUE ROAD SUITE 301AddressLine2
CityINDIANAPOLISCity
StateINState
ZIP Code46268ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
S JOE DEHAVEN
TRUSTEE, PAR0.50X000
WILLIAM F RITZMANN
TRUSTEE, PAR0.50X000
JACK A KENWORTHY
TRUSTEE, PAR0.50X000
DAVID W BLANFORD
TRUSTEE, PAR0.50X000
ROGER CROMER
TRUSTEE, PAR0.50X000
MIKE MELLON
TRUSTEE, PAR0.50X000
MARK FOGT
TRUSTEE, PAR0.50X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANTHEM
3350 PEACHTREE ROADATLANTAGA30326GEN. PLAN ADMN.1694392
CAPSTONE BENEFITS GROUP
8910 PURDUE RD SUITE 240INDIANAPOLISIN46268GEN. PLAN ADMN.722662
BENEFITSOLVER
1025 ASHWORTH ROAD SUITE 101WEST DES MOINESIA50265GEN. PLAN ADMN.221713
PRINCIPAL FINANCIAL GROUP
711 HIGH STREETDES MOINESIA50392GEN. PLAN ADMN.125946
OGLETREE DEAKINS
111 MONUMENT CIRCLE SUITE 4600INDIANAPOLISIN46204LEGAL107477
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS5251003476499034764990
EMPLOYEE CONTRIBUTIONS525100260175260175
FieldValueIRS element (for citing)
Total Program Service Revenue35025165TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column202974TotalRevenueColumn
Related Or Exempt Function Income202974RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1050592Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities977783Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities72809Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column72809TotalRevenueColumn
Related Or Exempt Function Income72809RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35300948TotalRevenueColumn
Related Or Exempt Function Income35300948RelatedOrExemptFunctionIncome

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total29977987Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total107596Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18516Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total30907Total

Insurance Insurance

FieldValueIRS element (for citing)
Total40264Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotal
ADMINISTRATIVE FEES2764713
MISCELLANEOUS28227

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32968210Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5548321BOY
EOY4515229EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1618167BOY
EOY1239687EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY348296BOY
EOY1705577EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2889535BOY
EOY5656305EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY757812BOY
EOY396178EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11162131BOY
EOY13512976EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY835548BOY
EOY551433EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4268795BOY
EOY4764791EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5104343BOY
EOY5316224EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY6057788BOY
EOY8196752EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6057788BOY
EOY8196752EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11162131BOY
EOY13512976EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2332738ReconcilationRevenueExpenses
Reconcilation Other Changes-193774ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR INCURRED AND UNREPORTED$3,625,012
DEPOSITS FOR FUTURE CLAIMS$681,997
PREMIUM STABILIZATION RESERVE$288,861
CONTRIBUTIONS RECEIVED IN ADVANCE$168,921
FieldValueIRS element (for citing)
Total Of Amounts4764791TotalOfAmounts
Total Revenue35300948TotalRevenue
Total Expenses32968210TotalExpenses
Excess Or Deficit For Year2332738ExcessOrDeficitForYear
Net Unrealized GL On Investments216146NetUnrealizedGLOnInvestments
Other-$409,920OtherAmount
Total Adjustments-193774TotalAdjustments
Excess Or Deficit Per FS2138964ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35486187TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments216146NetUnrealizedGainsInvestments
Revenue Not Rptd F990216146RevenueNotRptdF990
Revenue Subtotal35270041RevenueSubtotal
Investment Expenses Not Included30907InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt30907RevenueNotRptdOnFinStmt
Total Revenue Per Form99035300948TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32937303TotExpensesEtcAuditedFinclStmt
Expenses Subtotal32937303ExpensesSubtotal
Investment Expenses Not Included230907InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt30907ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032968210TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8CURRENT YEAR ACTUARIAL CHANGE IN BENEFIT OBLIGATION -619,639 CURRENT YEAR CHANGE IN CLAIMS PAYABLE 209,719
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DCURRENT YEAR ACTUARIAL CHANGE IN BENEFIT OBLIGATION 619,639 CURRENT YEAR CHANGE IN CLAIMS PAYABLE -209,719

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990, PART VISECTION B, LINE 12: THE TRUST FUND DOES NOT RETAIN A WRITTEN CONFLICT OF INTEREST POLICY, BUT THE BOARD OF TRUSTEES AND THE TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH REGARDS TO THE POLICY. SECTION B, LINE 13: THE TRUST FUND DOES NOT RETAIN A WRITTEN WHISTLEBLOWER POLICY, BUT THE BOARD OF TRUSTEES AND THE TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH REGARDS TO THE POLICY. SECTION B, LINE 14: THE TRUST FUND DOES NOT RETAIN A DOCUMENT RETENTION POLICY, BUT THE BOARD OF TRUSTEES AND THE TRUST FUND CONFORM WITH ERISA RULES AND REGULATIONS WITH REGARDS TO THE POLICY.
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3IBA GROUP INSURANCE TRUST DELEGATES ADMINISTRATION SERVICES TO PRINCIPAL FINANCIAL GROUP.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED ANNUALLY BY THE CHAIRMAN OF THE TRUSTEES AND IS AVAILABLE TO EACH TRUSTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE FUND DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE TRUST FUND AND THE BOARD OF TRUSTEES CONFORM WITH ERISA RULES AND REGULATIONS RELATING TO THIS MATTER.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.