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← CDCHOICES AND PARTICIPATING EMPLOYING CONSUMERS HEALTH PLAN

Form 990 for tax year 2022

Filed by CDCHOICES AND PARTICIPATING EMPLOYING CONSUMERS HEALTH PLAN.

Totals

Total revenue
$1,999,612
Total expenses
$1,999,730
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,999,612
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: EMPLOYERS CONTRIBUTION

    total $1,389,501 · related or exempt $1,389,501

  • 2b · Program service revenue: PARTICIPANTS CONTRIBUT

    total $610,111 · related or exempt $610,111

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $1,999,730

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $376,246 · end of year $0

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    end of year $0

  • 4 · Accounts receivable

    end of year $0

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    end of year $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    end of year $0

  • 12 · Investments: other securities

    end of year $0

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    end of year $0

  • 19 · Deferred revenue

    beginning of year $376,128

  • 29 · Capital stock, trust principal or current funds

    beginning of year $118 · end of year $118

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year -$118

Mission and programs · 2022

Mission

THE PLAN IS A MULTIPLE EMPLOYER WELFARE BENEFITS PLAN PROVIDING CERTAIN INSURED MEDICAL, DENTAL, AND VISION BENEFITS TO EMPLOYEES AND THEIR ELIGIBLE DEPENDANTS, AND WORKERS COMPENSATION AND DISABILITY TO ALL EMPLOYEES.

  • CDCHOICES AND PARTICIPATING EMPLOYING CONSUMERS HEALTH PLAN IS A VEBA TRUST ESTABLISHED FOR THE PURPOSE OF PROVIDING HEALTH, DENTAL, VISION, WORKERS COMPENSATION AND DISABILITY BENEFITS UNDER A FULLY-INSURED MULTIPLE EMPLOYER WELFARE ARRANGEMENT. PARTICIPATING EMPLOYERS INCLUDE CONSUMER DIRECTED CHOICES, INC. AND CONSUMERS OF NYS CONSUMER DIRECTED PERSONAL ASSISTANCE WHO CONTRACT WITH CONSUMER DIRECTED CHOICES FOR FISCAL INTERMEDIARY SERVICES. THE PLAN IS AVAILABLE TO THE EMPLOYEES OF CONSUMER DIRECTED CHOICES AND THE INDIVIDUAL EMPLOYING CONSUMERS WHO USE CONSUMER DIRECTED CHOICES. THE PLAN WAS TERMINATED AS OF DECEMBER 31, 2022.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Adirondack Trust Company

    TRUSTEE

    Total calculated
    $4,000
    From this org
    $0
    From related orgs
    $4,000
    Other
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

  • EMPIRE BLUE CROSS BLUE SHIELD

    $118

    Liquidation · CASH - INVOICE PAYMENT · Dec 31, 2022

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202313139349305151

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