2011-01-28T14:01:49-06:00 2010-03-31 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2009-04-01 916442222 Washington Alliance for Healthcare Insurance Trust WASH 4257717359 PO Box 6 Mukilteo WA 98275 F Bentley Lovejoy 4257717359 2011-01-27 1 SCOTT OPPERUD CPA 5097472158 2011-01-27 2009 2016-02-24 21:20:13Z F Bentley Lovejoy PO Box 6 Mukilteo WA 98275 248631685 0 X www.wahit.com www.nwtechbenefits.com X 1997 WA To provide qualified health and welfare benefits. 1 0 0 0 0 0 0 127365483 247535569 36193 300807 155425 274365 127557101 248110741 0 110052720 226051659 317413 669655 0 0 12980679 25439951 123350812 252161265 4206289 -4050524 31181640 27907669 12861971 13217345 18319669 14690324 To hold insurance policies through which participating employers can provide programs of health and other insurance benefits under the employee benefit plans they maintain for their employees and dependents. 0 0 The Trust was established to hold insurance policies through which participating employers can provide programs of health and other insurance benefits under the employee benefit plans they maintain for their employees and dependents. 0 0 0 0 0 0 0 0 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 0 1 3 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 1 0 0 X Benefit Solutions Inc 4257717359 12121 Harbour Reach Dr Ste 105 Mukilteo WA 98275 F Bentley Lovejoy 25.00 X 642184 0 0 642184 0 0 1 0 1 0 Mercer Health & Benefits LLC 1301 Fifth Avenue Suite 1900 Seattle WA 981012682 General agent and insurance broker 19565058 Benefit Solutions Inc 12121 Harbour Reach Dr Suite 105 Mukilteo WA 98275 Contract administrator 4272193 Ekman Bohrer & Thulin PS 220 West Mercer St Suite 400 Seattle WA 98119 Attorney 762205 Premera Blue Cross 7001 220th St SW Mountlake Terrace WA 98043 Producing broker/agent 336425 PlanSource PO Box 1313 Orlando FL 32802 Website development 273965 6 Employer contributions 525100 243335734 243335734 Participant contributi 525100 4199835 4199835 247535569 315478 315478 506273 520944 -14671 -14671 -14671 Employer late fees 525100 274365 274365 274365 248110741 247809934 0 300807 226051659 669655 4253049 762205 18000 12273 20333848 42710 4456 13410 252161265 12546144 12154540 1 1 360393 307338 5451 14285 1683599 2154851 16586052 13276654 31181640 27907669 290253 419468 10275870 9714065 2295848 3083812 12861971 13217345 X 0 0 0 0 18319669 14690324 18319669 14690324 31181640 27907669 X 0 1 0 X 0 0 Insurance premium deposit 2500000 Rate stabilization reserves 10776654 13276654 Premiums due to insurers 2752295 Contract experience deficit 331517 3083812 248110741 252161265 -4050524 408906 12273 421179 -3629345 248519647 408906 408906 248110741 0 248110741 251361028 2295848 2295848 249065180 12273 3083812 3096085 252161265 Part XIII, Line 2d - Other Adjustments: Premiums due insurers at the end of the prior year: 2290339. Contract experience deficit at the end of the prior year: 5509. Part XIII, Line 4b - Other Adjustments: Premiums due insurers at the end of the current year: 2752295. Contract experience deficit at the end of the current year: 331517. X X 0 0 0 F Bentley Lovejoy 642184 0 0 0 0 0 0 0 0 0 642184 0 0 0 Form 990, Part VI, Section A, line 3 The Trust has contracted with a third-party administrator, Benefit Solutions, Inc., to provide bookkeeping and administrative services. Form 990, Part VI, Section A, line 7a Under the rules of the Trust, a super majority of the employers can hold an election to remove and replace the Trustee. Form 990, Part VI, Section B, line 11 The Form 990 was prepared under the guidance of the Trustee and the Trust's consultants and advisors by the independent accounting firm SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC. Draft copies of the Trust's financial statements and Form 990 were first provided to the Trust's consultants and advisors, who reviewed the Form 990 for accuracy and completeness. Any questions, concerns or issues raised by the consultants and advisors were addressed and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Trustee for his review and approval. Any additional questions, concerns or issues raised by the Trustee were addressed and any necessary revisions were made to the Form 990. The final version of the Form 990 was reviewed, approved and filed by the Trustee. Form 990, Part VI, Section B, line 12c Because the Trust is also subject to ERISA and its party in interest and prohibited transaction rules, the parties working with the Trust are periodically reminded of their duties and obligations to avoid prohibited transactions and transactions that could be viewed as not in conformance with the conflict of interest policy. Form 990, Part VI, Section B, line 15a The Trustee's compensation has been determined by evaluating the compensation packages of similar revenue sized not-for-profit tax-exempt health care organizations. The Trust purchased from Economic Research Institute its Nonprofit Comparables Assessor which displays all tax-exempt Form 990s that report executive compensation for the calendar year 2009. From this data it was determined that the formula applied to the Trustee's compensation was between the 70th and 75th percentile for senior executives of similarly sized reported organizations. This was determined to be reasonable given the size of the Trust, the number of insured, the level of responsibility, and the fact that he pays all of his own taxes, benefits and other expenses of acting as Trustee. The formula for determining the Trustee's compensation is reported to the participating employers as part of each employer's their copy of the governing trust agreement which is distributed when an employer first joins the Trust and any time that there is a change. The exact dollar amount of compensation is reported to the U.S. Department of Labor on Form 5500 and is available online or upon request by participants and employers. At each renewal, the participating employers approve the arrangements with the Trustee when they renew, or they can elect to take their business elsewhere in a very competitive insurance market or, under the rules of the Trust, a super majority of the employers can hold an election to remove and replace the Trustee. Form 990, Part VI, Section C, line 19 The Trust's governing documents, conflict of interest policy, financial statements and Form 990 are available to the general public upon written request sent to Benefit Solutions, Inc. at: P.O. Box 6, Mukilteo, WA 98275.