2011-05-11T09:19:00-05:00 2010-12-31 990 2010-01-01 521074154 SPECIAL AGENTS MUTUAL BENEFIT ASSOCIATION SPEC 3019841440 11301 OLD GEORGETOWN ROAD ROCKVILLE MD 20852 KATHRYN DIEM 3019841440 2011-05-09 2010 2016-02-24 21:20:13Z SPECIAL AGENTS MUTUAL BENEFIT ASSOCIATION KATHRYN DIEM 11301 OLD GEORGETOWN ROAD ROCKVILLE MD 20852 245678173 false X WWW.SAMBAPLANS.COM X 1976 DC TO SPONSOR AND ADMINISTER THE SAMBA BENEFIT PLAN FOR ITS MEMBERSHIP. 6 6 67 0 0 187232482 239025348 2038772 4387563 3613 287897 189274867 243700808 0 170608953 218089286 6259873 5566506 0 0 9654835 12732988 186523661 236388780 2751206 7312028 92158925 104309394 29132483 33451313 63026442 70858081 TO SPONSOR AND ADMINISTER THE SAMBA BENEFIT PLAN (THE PLAN) FOR ITS MEMBERSHIP IN ACCORDANCE WITH ERISA. THE SAMBA BENEFIT PLAN INCLUDES HEALTH LIFE SICK ACCIDENT AND RELATED COVERAGES. false false 525100 SPONSORED HEALTH GROUP TERM LIFE DISABILITY ACCIDENT DENTAL AND VISION BENEFITS FOR APPROXIMATELY 110000 MEMBERS. false false false false false false false false true false false false true true true 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 true 15 0 true 67 true false false false false false false X 6 6 false false false false true true false true true false false false true true true false true true false false X JOHN R MARTUCCI 3019844110 11301 OLD GEORGETOWN ROAD ROCKVILLE MD 20852 WALTER E WILSON 40 X 390649 0 17023 WILLIAM P O'HANLON 3 X X 46000 0 0 DAVID R LOESCH 1 X X 2000 0 0 KATHRYN DIEM 1 X X 2000 0 0 DAVID E ERMER 1 X 0 0 0 JOSEPH R DAVIS 1 X 2000 0 0 CHARLENE B THORNTON 1 X 0 0 0 ANGELA ZENTZ 1 X 0 0 0 PAMELA CUMMINGS 40 X 166365 0 15843 JOHN R MARTUCCI 40 X 147958 0 8681 M TODD SCHOENIAN 40 X 131759 0 9732 888731 51279 4 false true false CIGNA HEALTHCARE 1111 MARKET STREET CHATTANOOGA TN 37402 NETWORK ADMINISTRATION 4490201 EMDEON BUS SERV LLC 12016 COLLECTIONS CTR DR CHICAGO IL 60693 PRINTINGMAILING 582774 AETNA US HEALTHCARE PO BOX 70944 CHICAGO IL 60673 NETWORK ADMINISTRATION 419909 MULTIPLAN INC PO BOX 29380 NEW YORK NY 10087 NETWORK ADMINISTRATION 376495 BALMAR INC 2818 FALLFAX DR FALLS CHURCH VA 22042 PRINTING MAILING SERVICES 218976 10 PREMIUMS 525100 223235083 223235083 COMMISSIONS & ADMINISTRATION FEES 525100 3113657 3113657 CONTINGENCY RESERVE TRANSFER 525100 12434625 12434625 EXPERIANCE RATING ADJUSTMENT 525100 241983 241983 239025348 1536047 1536047 40429305 37577789 2851516 2851516 2851516 MISCELLANEOUS 524290 287897 287897 287897 243700808 239025348 0 4675460 218089286 641880 3604165 260503 746884 313074 5843254 86109 128292 186957 1649889 908127 136295 54332 959994 129555 CLEARINGHOUSE EXPENSE 12488 FASB 158 EFFECT 844789 REINSURANCE EXPENSE 1704850 PROPERTY TAXES 64849 MISCELLANEOUS 23208 236388780 0 0 0 500 500 29239035 31932282 15639391 18662534 369482 397208 10122506 6436505 3396865 3686001 42883493 48907202 630159 723667 92158925 104309394 626117 753575 2996515 1974747 25509851 30722991 29132483 33451313 X 63026442 70858081 63026442 70858081 92158925 104309394 X 7312028 519611 X false true true X false false 600000 600000 4228984 3474774 754210 4224036 2127576 2096460 1069486 834155 235331 3686001 FUNDS IN EXCESS OF RESERVE - FSL 541544 REINSURANCE RECOVERABLE ON PAID CLAIMS 182123 723667 INSURANCE PREMIUM PAYABLE 610891 PROVISION FOR POST RETIREMENT 704599 RESERVE IN EXCESS OF FUNDS - ALLIANZ 533412 ACCRUED PENSION LIABILITY 893065 RESERVE FOR UNPAID CLAIMS 27981024 30722991 243700808 236388780 7312028 1427653 1427653 8739681 246678173 1427653 1549712 2977365 243700808 243700808 237938492 1549712 1549712 236388780 236388780 PART XII LINE 2D OTHER REVENUE ON AUDITED FS NOT ON RETURN INTERPLAN ALLOCATIONS - 1549712 PART XIII LINE 2D OTHER EXPENSES ON AUDITED FS NOT ON RETURN INTERPLAN ALLOCATIONS - 1549712 PART X LINE 2 MANAGEMENT OF SAMBA EVALUATES INCOME TAX POSITIONS TAKEN AND WILL RECOGNIZE A TAX LIABILITY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION TAKEN WILL NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF DECEMBER 31 2010 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. X X X false false false WALTER E WILSON 285131 105518 4250 17023 411922 PAMELA CUMMINGS 151365 15000 2286 15843 184494 JOHN R MARTUCCI 140958 7000 2122 8681 158761 FORM 990 PART VI SECTION A LINE 6 MEMBERSHIP IN THE CORPORATION SHALL BE OPEN TO INDIVIDUALS WHO ARE ACTIVE EMPLOYEES OF A SAMBA ELIGIBLE EMPLOYING AGENCY OR WHO ARE RETIRED FROM A SAMBA ELIGIBLE EMPLOYING AGENCY UNDER ANY ESTABLISHED RETIREMENT PROGRAM. THE TERM SAMBA ELIGIBLE EMPLOYING AGENCY MEANS ANY BRANCH DEPARTMENT OR AGENCY OF THE UNITED STATES GOVERNMENT INCLUDING WITHOUT LIMITATION THE U.S. POSTAL SERVICE AND U.S. COURTS. MEMBERSHIP IN THE CORPORATION CONSISTS OF TWO CLASSES REGULAR MEMBERSHIP - ELIGIBLE INDIVIDUALS MAY ELECT REGULAR MEMBERSHIP BY ENROLLING IN THE HEALTH BENEFIT PLAN. REGULAR MEMBERS ALSO MAY ENROLL IN OTHER PLAN PROGRAMS IN ACCORDANCE WITH AND AS PERMITTED BY THE PLAN DOCUMENTS. REGULAR MEMBERSHIP SHALL TERMINATE CONTEMPORANIOUSLY WITH THE TERMINATION OF THE HEALTH BENEFIT PLAN COVERAGE. MEMBERSHIP AT THAT TIME WILL CONVERT TO ASSOCIATE MEMBERSHIP IF THE INDIVIDUAL REMAINS ENROLLED IN ANY OTHER PLAN PROGRAM. ASSOCIATE MEMBERSHIP - ELIGIBLE INDIVIDUALS MAY ELECT ASSOCIATE MEMBERSHIP BY ENROLLING IN A PLAN PROGRAM OTHER THAN THE HEALTH BENEFIT PLAN IN ACCORDANCE WITH AND AS PERMITTED BY THE PLAN DOCUMENTS. ASSOCIATE MEMBERSHIP SHALL TERMINATE CONTEMPORANIOUSLY WITH THE TERMINATION OF PLAN COVERAGE UNLESS THE INDIVIDUAL TRANSFERS EMPLOYMENT TO ANOTHER AGENCY IN WHICH CASE HE OR SHE MAY CONTINUE HIS OR HER ENROLLMENT AND ASSOCIATE MEMBERSHIP WHILE SO EMPLOYED. FORM 990 PART VI SECTION A LINE 7A REGULAR MEMBERS SHALL HAVE THE RIGHT TO VOTE IN THE ELECTION OF DIRECTORS. EXCEPT AS OTHERWISE EXPRESSLY STATED IN THE BYLAWS OR IN THE ARTICLES OF INCORPORATION MEMBERS INCLUDING REGULAR MEMBERS SHALL NOT HAVE THE RIGHT TO VOTE ON ANY OTHER MATTER AFFECTING THE CORPORATION INCLUDING BUT NOT LIMITED TO MERGER CONSOLIDATION AND DISSOLUTION. FORM 990 PART VI SECTION B LINE 11B THE FORM 990 IS REVIEWED BY BOTH THE CONTROLLER AND THE ORGANIZATION'S OUTSIDE AUDIT FIRM BEFORE IT IS FORWARDED TO THE TREASURER FOR FINAL REVIEW AND SIGNATURE. FORM 990 PART VI SECTION B LINE 12C OFFICERS DIRECTORS OR TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST INCLUDING BUT NOT LIMITED TO EMPLOYMENT AND ANY WORK PERFORMED FOR ANOTHER ORGANIZATION PAID OR UNPAID. FORM 990 PART VI SECTION B LINE 15A THE BOARD OF DIRECTORS SETS THE COMPENSATION OF THE EXECUTIVE DIRECTOR BASED UPON OUTSIDE RECOMMENDATIONS AND STATISTICAL DATA. THE EXECUTIVE DIRECTOR'S COMPENSATION WAS LAST REVIEWED IN JANUARY OF 2008. FORM 990 PART VI SECTION C LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST TO THE PUBLIC. THE ORGANIZATION'S BYLAWS ARE AVAILABLE ON ITS WEBSITE FOR ANYONE TO VIEW WITH THE LATEST UPDATE AS OF JANUARY 9 2009. FORM 990 PART XI LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCE OF 1427653 IN UNREALIZED GAINS