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← NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TR

Form 990 for tax year 2023

Filed by NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TR.

What the amendment changed

Compared with the return it replaced , filed 9 October 2024. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total expenses
$33,701,766 changed to $33,661,731
Total assets, end of year
$10,310,440 changed to $10,350,475
Net assets or fund balances, end of year
$7,955,697 changed to $7,995,732

Totals

Total revenue
$32,254,418
Total expenses
$33,661,731
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$31,959,917
Investment income
$229,012
Other revenue
$65,489
Total assets, end of year
$10,350,475
Total liabilities, end of year
$2,354,743
Net assets or fund balances, end of year
$7,995,732
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: PARTICPANT CONTRIBUTIONS

    total $29,623,616 · related or exempt $29,623,616

  • 2b · Program service revenue: REBATE & OTHER INCOME

    total $2,146,948 · related or exempt $2,146,948

  • 2c · Program service revenue: COBRA PREMIUMS

    total $189,353 · related or exempt $189,353

  • 3 · Investment income

    total $229,012 · excluded $229,012

  • 11d · All other revenue

    total $65,489 · excluded $65,489

  • 11e · Other revenue, total

    $65,489

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $28,410,103

  • 11b · Fees: legal

    total $48,755

  • 11c · Fees: accounting

    total $77,202

  • 11g · Fees: other

    total $2,727,943

  • 23 · Insurance

    total $12,622

  • 24a · Other expenses: REINSURANCE PREMIUMS

    total $2,201,794

  • 24b · Other expenses: ENROLLMENT EXPENSES

    total $117,592

  • 24c · Other expenses: PROVIDER FEES

    total $34,286

  • 24d · Other expenses: INCOME TAX

    total $15,055

  • 24e · All other expenses

    total $16,379

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $10,167,858 · end of year $7,992,540

  • 15 · Other assets

    beginning of year $1,788,498 · end of year $2,357,935

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,420 · end of year $743

  • 25 · Other liabilities

    beginning of year $2,042,000 · end of year $2,354,000

  • 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 $9,908,936 · end of year $7,995,732

Mission and programs · 2023

Mission

SELF-FUNDED MULTIPLE EMPLOYER WELFARE ASSOCIATION BENEFIT PLAN

  • THE NCBA HEALTH BENEFIT TRUST PROVIDED COVERAGE FOR AN AVERAGE OF 2,155 EMPLOYEES AND DEPENDENTS OF NCBA MEMBER INSTITUTIONS IN THE PAST PLAN YEAR. THE PLAN COLLECTED PREMIUMS AND PAID CLAIMS IN ACCORDANCE WITH THE TRUST AGREEMENT.

As filed on the 2023 return.

Listed in Part VII

  • DAVID SAULS

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • MIKE AYOTTE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DAVID KEUL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DEBRA MEDLIN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • LARISSA PROCIUK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • STEPHANIE TUCKER

    CFO (TO DEC '23)

    Total calculated
    $236,541
    From this org
    $0
    From related orgs
    $211,899
    Other
    $24,642
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $189,000 related
    Bonus
    $0 + $15,120 related
    Other
    $0 + $7,779 related
    Deferred
    $0 + $23,226 related
    Nontaxable benefits
    $0 + $1,416 related
    Filer's total
    $0 + $236,541 related

  • MARK HOLMES

    CFO (FROM JAN '24)

    Total calculated
    $0
    Hours/week
    1 + 39 related

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

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.

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.

  • ALLIANCE BANK & TRUST

  • AMERICAN BANK & TRUST

  • BELMONT FEDERAL SAVINGS

  • BLACK MOUNTAIN SAVINGS BANK

  • BLUEHARBOR BANK

  • COASTAL BANK & TRUST

  • DOGWOOD STATE BANK

  • F&M BANK

  • FIRST CAPITAL BANK

  • FIRST CAROLINA BANK

  • FIRST FEDERAL BANK

  • FIRST FEDERAL SAVINGS

  • FIRST SAVINGS & LOAN

  • HERTFORD SAVINGS BANK SSB

  • INTEGRATED FINANCIAL HOLDINGS

  • JACKSON SAVINGS BANK SSB

  • KS BANK INC

  • LUMBEE GUARANTY BANK

  • M&F BANK

  • MORGANTON FEDERAL SAVINGS

  • NANTAHALA BANK & TRUST CO

  • NEW REPUBLIC SAVINGS BANK

  • NORTH STATE BANK

  • OLD NORTH STATE TRUST LLC

  • PARAGON BANK

  • PROVIDENCE BANK

  • RIVERSIDE SAVINGS BANK

  • ROXBORO SAVINGS BANK

  • SOUTHERN BANK

  • TARBORO SAVINGS BANK SSB

  • TAYLORSVILLE SAVINGS BANK

  • TRIAD BUSINESS BANK

  • WAKE FOREST FEDERAL SAVINGS

Provenance

Return type
form_990
Tax year
2023
Filed
27 January 2025
IRS schema version
2023v6.0
Source object
202510279349301481

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