2025-02-06T15:13:20-05:00 2024-09-30 841839663 ALPINE SUMMIT CPAS 1810 E SCHNEIDMILLER AVENUE STE 3 POST FALLS ID 83854 990 2023-10-01 352666649 CITY OF COEUR D ALENE EMPLOYEE BENEFITS TRUST CITY 2087692225 710 MULLAN AVENUE COEUR DALENE ID 83814 VONNIE JENSEN TREASURER 2087692225 2024-02-04 true true TONI A HACKWITH P00073652 2087771099 2025-02-05 2023 2025-03-06 01:10:19Z RANDALL R ADAMS 6720649 false X CDAID.ORG X 2020 ID THE CITY OF COEUR D'ALENE EMPLOYEE BENEFITS TRUST WAS ESTABLISHED TO PROVIDE HEALTHCARE COVERAGE FOR ITS EMPLOYEES THROUGH A SELF-FUNDED HEALTHCARE BENEFIT PLAN. THE PLAN WAS APPROVED BY THE STATE OF IDAHO DEPARTMENT OF INSURANCE IN DECEMBER OF 2019 THE PLAN IS FUNDED THROUGH CONTRIBUTIONS FROM BOTH THE CITY AND THE EMPLOYEES. THE PLAN IS FUNDED THROUGH AN IRREVOCABLE TRUST FUND IN ACCORDANCE WITH THE TERMS SET FORTH IN CHAPTER 40, TITLE 41, OF THE IDAHO CODE. THE PLAN AND THE IRREVOCABLE TRUST FUND ARE MANAGED AND ADMINISTERED BY TRUSTEES THROUGH AN ENTITY THAT IS SEPARATE AND INDEPENDENT FROM THE CITY OF COEUR D'ALENE. ALL FUNDS CONTRIBUTED TO THE IRREVOCABLE TRUST FUND ARE FIDUCIARY FUNDS HELD IN THE NAME OF THE PLAN FOR THE BENEFIT OF ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. THE PLAN WAS INITIATED ON JANUARY 1, 2020. THE ACTIVITIES OF THE TRUST ARE 100% DEDICATED TO PROVIDING HEALTHCARE BENEFITS TO THE EMPLOYEES OF THE CITY OF COEUR D'ALENE AND THEIR DEPENDENTS. THE ACTIVITIES OF T 5 5 0 5 0 0 5654888 5951942 40663 104379 170166 664328 5865717 6720649 0 0 0 0 0 5244960 6497932 5244960 6497932 620757 222717 3794876 4072768 863323 918498 2931553 3154270 X THE CITY OF COEUR D'ALENE EMPLOYEE BENEFITS TRUST WAS ESTABLISHED TO PROVIDE HEALTHCARE COVERAGE FOR ITS EMPLOYEES THROUGH A SELF-FUNDED HEALTHCARE BENEFIT PLAN. THE PLAN WAS APPROVED BY THE STATE OF IDAHO DEPARTMENT OF INSURANCE IN DECEMBER OF 2019 THE PLAN IS FUNDED THROUGH CONTRIBUTIONS FROM BOTH THE CITY AND THE EMPLOYEES. THE PLAN IS FUNDED THROUGH AN IRREVOCABLE TRUST FUND IN ACCORDANCE WITH THE TERMS SET FORTH IN CHAPTER 40, TITLE 41, OF THE IDAHO CODE. THE PLAN AND THE IRREVOCABLE TRUST FUND ARE MANAGED AND ADMINISTERED BY TRUSTEES THROUGH AN ENTITY THAT IS SEPARATE AND INDEPENDENT FROM THE CITY OF COEUR D'ALENE. ALL FUNDS CONTRIBUTED TO THE IRREVOCABLE TRUST FUND ARE FIDUCIARY FUNDS HELD IN THE NAME OF THE PLAN FOR THE BENEFIT OF ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. THE PLAN WAS INITIATED ON JANUARY 1, 2020. THE ACTIVITIES OF THE TRUST ARE 100% DEDICATED TO PROVIDING HEALTHCARE BENEFITS TO THE EMPLOYEES OF THE CITY OF COEUR D'ALENE AND THEIR DEPENDENTS. THE ACTIVITIES OF T false false 6497932 5951942 PROVIDING OPTIONAL HEALTH CARE BENEFITS TO THE EMPLOYEES OF THE CITY OF COEUR D ALENE. 6497932 false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true 0 0 false 0 false false false false false false false false X 5 5 false false false false false false false true true false false false false false false false false false X VONNIE JENSEN 2087692225 710 MULLAN AVE COEUR D ALENE ID 83814 X RANDALL R ADAMS BOARD CHAIR X 0 0 0 BILL DODD VICE CHAIR X X 0 0 0 VONNIE JENSEN TREASURER X X 0 0 0 MELISSA TOSI SECRETARY X X 0 0 0 false false false EMPLOYEE/ER CONTRIBUTIONS 5951942 5951942 5951942 104379 104379 RX REBATES 381531 381531 STOP LOSS RECOVERED 282797 282797 664328 6720649 6720649 49790 INSURANCE CLAIM BENEFITS 5350126 STOP LOSS PREMIUMS 610392 ADMINISTRATIVE EXPENSES 396394 SCRIPT SOURCING 173720 -82490 6497932 0 0 0 1199580 1352969 2558457 2661271 35473 58528 1366 3794876 4072768 863323 918498 863323 918498 X 2931553 3154270 2931553 3154270 3794876 4072768 222717 X false true X true false HEALTH CLAIMS INCURRED BUT NOT PAID 638015 CLAIMS PAYABLE 256483 MANAGEMENT & PROFESSIONAL FEES 24000 918498 6720649 6720649 6720649 6497932 6497932 6497932 FORM 990 - ORGANIZATION'S MISSION THE CITY OF COEUR D'ALENE EMPLOYEE BENEFITS TRUST WAS ESTABLISHED TO PROVIDE HEALTHCARE COVERAGE FOR ITS EMPLOYEES THROUGH A SELF-FUNDED HEALTHCARE BENEFIT PLAN. THE PLAN WAS APPROVED BY THE STATE OF IDAHO DEPARTMENT OF INSURANCE IN DECEMBER OF 2019 THE PLAN IS FUNDED THROUGH CONTRIBUTIONS FROM BOTH THE CITY AND THE EMPLOYEES. THE PLAN IS FUNDED THROUGH AN IRREVOCABLE TRUST FUND IN ACCORDANCE WITH THE TERMS SET FORTH IN CHAPTER 40, TITLE 41, OF THE IDAHO CODE. THE PLAN AND THE IRREVOCABLE TRUST FUND ARE MANAGED AND ADMINISTERED BY TRUSTEES THROUGH AN ENTITY THAT IS SEPARATE AND INDEPENDENT FROM THE CITY OF COEUR D'ALENE. ALL FUNDS CONTRIBUTED TO THE IRREVOCABLE TRUST FUND ARE FIDUCIARY FUNDS HELD IN THE NAME OF THE PLAN FOR THE BENEFIT OF ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. THE PLAN WAS INITIATED ON JANUARY 1, 2020. THE ACTIVITIES OF THE TRUST ARE 100% DEDICATED TO PROVIDING HEALTHCARE BENEFITS TO THE EMPLOYEES OF THE CITY OF COEUR D'ALENE AND THEIR DEPENDENTS. THE ACTIVITIES OF THE PLAN WILL BE CONDUCTED BY THE TRUSTEES AT 710 MULLAN AVENUE, COEUR D'ALENE, IDAHO. FORM 990, PAGE 1, PART I, LINE 6 TRUSTEES OF THE ENTITY FORM 990, PAGE 6, PART VI, LINE 11B REVIEW IS PERFORMED BY ALL TRUSTEES. A MORE THOROUGH REVIEW IS PERFORMED BY THE BOARD TREASURER FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST