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← STATE OF INDIANA HEALTH REIMBURSEMENT ARRANGEMENT HRA

Form 990 for tax year 2022

Filed by STATE OF INDIANA HEALTH REIMBURSEMENT ARRANGEMENT HRA.

Totals

Total revenue
$19,798,932
Total expenses
$18,922,046
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$7,343,589
Investment income
$12,455,343
Other revenue
$0
Total assets, end of year
$298,738,342
Total liabilities, end of year
$291,200
Net assets or fund balances, end of year
$298,447,142
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: Plan contributions

    total $7,343,589 · related or exempt $7,343,589

  • 3 · Investment income

    total $12,191,955 · excluded $12,191,955

  • 7a · Gross sales of assets other than inventory

    securities $12,805,032

  • 7b · Less cost or other basis and sales expenses

    securities $12,541,644

  • 7c · Gain or loss

    securities $263,388

  • 7d · Net gain or loss

    total $263,388 · excluded $263,388

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $17,255,287

  • 11a · Fees: management

    total $1,637,251

  • 24a · Other expenses: PCORI Fees

    total $29,508

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $249,156 · end of year $209,563

  • 11 · Investments: publicly traded securities

    beginning of year $238,141,122 · end of year $192,149,136

  • 12 · Investments: other securities

    beginning of year $106,239,790 · end of year $106,379,643

  • 17 · Accounts payable and accrued expenses

    beginning of year $135,668 · end of year $134,621

  • 19 · Deferred revenue

    beginning of year $113,488 · end of year $74,942

  • 25 · Other liabilities

    beginning of year $70,124 · end of year $81,637

  • 28 · Net assets with donor restrictions

    beginning of year $344,310,788 · end of year $298,447,142

Mission and programs · 2022

Mission

The Trust has been established to provide employees with health benefits as set forth in the related plan, while they are eligible to receive such benefits, and to provide such other permissible payments as may be determined from time to time. It is intended that the benefits and payments provided by the related plan and funded through the Trust be "life, sick, accident, or other benefits" as that phrase is defined in Section 501(c)(9) of the Internal Revenue Code.

Activities or mission (Part I)

To provide qualified health and welfare benefits through a health reimbursement arrangement (HRA).

  • This trust holds the assets of the State of Indiana Health Reimbursement Arrangement "HRA" Account Plan (the Plan) for employees of school corporations and governmental employers within the State of Indiana. The Plan is a defined contribution, health and welfare benefit plan commonly referred to as a "health reimbursement arrangement" plan. The Plan is designed to be a tax-free account for participants to pay health benefits not provided by Social Security, Medicare, or any other health insurance contract or plan. The payments or reimbursements may not be made for items paid or payable by any other insurance contract or plan, or for expenses that are deducted by the participant under any Section of the Internal Revenue Code or which were incurred prior to becoming a participant of the Plan. Reimbursement may be made for the out-of-pocket portion of premiums due for Medicare. The aforementioned expenses must be expenses of the participants, the spouses of the participants and/or the tax-qualified dependents of the participants.

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

Listed in Part VII

  • Washington Trust Bank

    Trustee

    Total calculated
    $103,777
    From this org
    $0
    From related orgs
    $103,777
    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.

  • Elkhart Community Schools

  • Perry Township Schools

  • Anderson Comm School

  • Fort Wayne Community School

  • Carmel Clay Schools

  • Jennings County School Corp

  • Seymour Comm Schools

  • MSD Of Washington Township

  • Franklin Township Community Schools

  • Merrillville Comm School Corp

  • Sunman Dearborn Community School Corp

  • Penn-Harris-Madison School Corp

  • Washington Comm

  • Indianapolis Public Schools

  • Richmond Community Schools

  • Whitley County Schools

  • School City Of East Chicago

  • New Castle Community School Co

  • Greenfield Ctrl Comm School Co

  • MSD Lawrence Township

  • Beech Grove City Schools

  • Noblesville Schools

  • North Lawrence Comm Schools

  • Warrick County School Corp

  • Valparaiso Comm Schools

  • Linton-Stockton School Corp

  • Westfield Washington Schools

  • Wawasee Community School

  • Brownsburg Comm School

  • Crothersville Community Schools

  • Mississinewa Community Schools

  • Steuben County

  • Hancock Madison Shelby ESD

  • West Lafayette Comm School Cor

  • Eastern Greene Community Schools

  • Orleans Community School

  • Daviess Martin Co-Op

  • MSD Decatur Township

  • Mooresville Consolidated

  • CSC of Southern Hancock County

  • Huntington School Corp

  • South Spencer Co School Corp

  • Crawfordsville Comm Schools

  • Porter Township School Corp

  • South Montgomery

  • Mount Vernon

  • MSD Of North Posey

  • Sheridan Community Schools

  • Earlywood Education Services

  • Kokomo School Corporation

  • Centerville-Abington

  • Joint Educational Services In Special Education

  • Fremont Community Schools

  • CA Beard Memorial School Corp

  • MSD Of Warren Twp

  • Southside Spec-Serv Marion Cou

  • S Madison Comm Schools

  • Union North United

  • East Allen County Schools

  • Greencastle Community Schools

  • Wa-Nee Community Schools

  • Nw Consolidated Schools Shelby

  • Wabash County

  • Decatur Comm School

  • Ripley Oh Dearborn Rod S E C

  • River Forest Community School Corporation

  • Union Co College Joint Sd

  • North Miami Community Schools

  • Tri-Creek School Corporation

  • Peru Community Schools

  • Liberty-Perry School Corp

  • Laporte Community Schools

  • North West Hendricks

  • Triton School Corp

  • Nw Allen County School

  • North Gibson School Corp

  • Smith-Green Community Schools

  • Northeastern Wayne School Corp

  • Shelbyville Central Schools

  • Brownstown Central Community

  • MSD Of Martinsville

  • SE Fountain School Corp

  • Bloomfield School District

  • Portage Township Schools

  • South Henry School Corp

  • Central Nine Career Center

  • Randolph Eastern School Corp

  • East Porter County

  • Madison-Grant Schools

  • Hamilton Heights School Corp

  • Batesville Community School Corp

  • Crown Point Comm School Corp

  • Eminence Community School Corp

  • Greene-Sullivan Special Edu Co

  • Daleville Comm School Corp

  • School City Of Hammond

  • So Vermillion Comm Schools

  • MSD Of Pike Township

  • Lakeland School Corp

  • Western Wayne

  • Clinton Prairie School Corporation

  • Wes-Del Community Schools

  • North Spencer County

  • Gibson-Pike-Warrick County Co-Op

  • West Noble School Corp

  • North White School Corp

  • Rising Sun Ohio Cty Comm Schoo

  • Hamilton Community Schools

  • South Ripley Community School

  • Bluffton Harrison MSD

  • Southwestern Cons School Corp

  • Central Noble Comm School Corp

  • Unknown Employer

  • CSC Of Eastern Hancock Co

  • East Gibson School Corporation

  • Southeastern School Corp

  • Clinton Central School Corp

  • Delaware Community School Corporation

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HRA Administrators LLC

    C · Plan administration · WA

    Directly controlled by American International Group

Provenance

Return type
form_990
Tax year
2022
Filed
17 October 2023
IRS schema version
2022v5.0
Source object
202312909349301806

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