Skip to content
Nonprofiteer
← CCPOA INSURANCE DIVISION TRUST

Form 990 for tax year 2022

Filed by CCPOA INSURANCE DIVISION TRUST.

Totals

Total revenue
$350,337,686
Total expenses
$335,986,417
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$345,669,801
Investment income
$4,543,321
Other revenue
$124,564
Total assets, end of year
$262,857,480
Total liabilities, end of year
$62,238,271
Net assets or fund balances, end of year
$200,619,209
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: EMPLOYER CONTRIBUTIONS

    total $249,184,964 · related or exempt $249,184,964

  • 2b · Program service revenue: PARTICIPANT CONTRIBUTIONS

    total $88,006,134 · related or exempt $88,006,134

  • 2c · Program service revenue: ADMIN FEE REIMBURSEMENT

    total $5,401,821 · related or exempt $5,401,821

  • 2d · Program service revenue: SERVICE FEE REVENUE

    total $3,076,882 · related or exempt $3,076,882

  • 3 · Investment income

    total $6,022,108 · excluded $6,022,108

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $112,064

  • 6c · Rental income or loss

    real property $112,064 · personal property $0

  • 6d · Net rental income or loss

    total $112,064 · excluded $112,064

  • 7a · Gross sales of assets other than inventory

    securities $66,173,602

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

    securities $67,652,389

  • 7c · Gain or loss

    securities -$1,478,787

  • 7d · Net gain or loss

    total -$1,478,787 · excluded -$1,478,787

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $12,500

  • 11e · Other revenue, total

    $12,500

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $323,208,098

  • 5 · Compensation of officers, directors and key employees

    total $215,355

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $3,018,753

  • 8 · Pension plan contributions

    total $43,519

  • 9 · Other employee benefits

    total $733,243

  • 10 · Payroll taxes

    total $223,548

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $197,627

  • 11c · Fees: accounting

    total $74,750

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $127,670

  • 11g · Fees: other

    total $6,109,135

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $1,041,078

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $528,175

  • 17 · Travel

    total $97,973

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $211,793

  • 23 · Insurance

    total $155,700

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $200 · end of year $200

  • 2 · Savings and temporary cash investments

    beginning of year $51,006,024 · end of year $58,354,260

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $20,755,936 · end of year $21,289,741

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $138,019 · end of year $183,492

  • 10a · Land, buildings and equipment: cost or other basis

    $7,087,313

  • 10b · Land, buildings and equipment: accumulated depreciation

    $3,684,029

  • 10c · Land, buildings and equipment, net

    beginning of year $3,297,529 · end of year $3,403,284

  • 11 · Investments: publicly traded securities

    beginning of year $175,800,140 · end of year $171,937,961

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $6,153,150 · end of year $7,688,542

  • 17 · Accounts payable and accrued expenses

    beginning of year $910,678 · end of year $1,028,829

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $61,631,968 · end of year $61,209,442

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 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 $194,608,352 · end of year $200,619,209

Mission and programs · 2022

Mission

TO PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.

  • PROVIDED CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS FOR 28,003 ACTIVE EMPLOYEES AND 16,121 RETIREES.

As filed on the 2022 return.

Listed in Part VII

  • Daniel Beaman

    Administrator

    Total calculated
    $207,111
    From this org
    $196,054
    From related orgs
    $0
    Other
    $11,057
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $184,554
    Bonus
    $11,500
    Other
    $0
    Deferred
    $10,761
    Nontaxable benefits
    $296
    Filer's total
    $207,111

  • james baumiller

    ASSISTANT ADMIN

    Total calculated
    $207,064
    From this org
    $170,010
    From related orgs
    $0
    Other
    $37,054
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,510
    Bonus
    $7,500
    Other
    $0
    Deferred
    $23,538
    Nontaxable benefits
    $13,516
    Filer's total
    $207,064

  • Guadalupe Ruiz

    CFO

    Total calculated
    $205,345
    From this org
    $199,375
    From related orgs
    $0
    Other
    $5,970
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,875
    Bonus
    $7,500
    Other
    $0
    Deferred
    -$25,825
    Nontaxable benefits
    $31,795
    Filer's total
    $205,345

  • Peter Sands

    COMPUTER/COMPLIANCE SUPERVISOR

    Total calculated
    $87,078
    From this org
    $104,715
    From related orgs
    $0
    Other
    -$17,637
    Hours/week
    40

  • Deborah Johnson

    BENEFITS ADMIN MANAGER

    Total calculated
    $63,186
    From this org
    $117,411
    From related orgs
    $0
    Other
    -$54,225
    Hours/week
    40

  • Patrick Day

    ADMINISTRATOR

    Total calculated
    $0
    Hours/week
    5 + 5 related

  • Steven Herrera

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    5 + 5 related

  • Shane Hall

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5 + 5 related

  • Robert Garcia

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5 + 5 related

  • Christopher Gallyer

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5 + 5 related

  • BENJAMIn Sybesma

    LDF lEGAL Administrator

    Total calculated
    -$103,009
    From this org
    $246,818
    From related orgs
    $0
    Other
    -$349,827
    Hours/week
    40

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

None.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
30 January 2024
IRS schema version
2022v5.0
Source object
202410339349300341

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.