Medical Plan Tr Fbo Athens Cty Schl Emplees Hlth & Wlfare Benefit Fund in Chauncey, Ohio (OH)

Medical Plan Tr Fbo Athens Cty Schl Emplees Hlth & Wlfare Benefit Fund
Employer Identification Number (EIN)	341785982
Name of Organization	Medical Plan Tr Fbo Athens Cty Schl Emplees Hlth & Wlfare Benefit Fund
In Care of Name	Hamilton Combs Iii
Address	21 Birge Dr, Chauncey, OH 45719-1100
Activities	Sick, accident, death, or similar benefits
Subsection	Voluntary Employees' Beneficiary Association (Non-Govt. Emps.)
Ruling Date	12/1994
Deductibility	Contributions are not deductible
Foundation	All organizations except 501(c)(3)
Organization	Trust
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2012
Assets	$5,000,000 to $9,999,999
Income	$10,000,000 to $49,999,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$5,565,311
Amount of Income	$13,977,585
Form 990 Revenue Amount	$9,578,816
National Taxonomy of Exempt Entities (NTEE)	Mutual/Membership Benefit Organizations, Other: Voluntary Employees Beneficiary Associations (Government)

Non-representatives - add comments:

Amount of income in 2012: $13,977,585

Medical Plan Tr Fbo Athens Cty Schl Emplees Hlth & Wlfare Benefit Fund:	$13,977,585
Other organizations performing similar types of work:	$3,748,236

Assets in 2012: $5,565,311

This organization:	$5,565,311
Other organizations performing similar types of work:	$5,565,311

Expenses in 2012: $9,661,663

Medical Plan Tr Fbo Athens Cty Schl Emplees Hlth & Wlfare Benefit Fund:	$9,661,663
Other organizations performing similar types of work:	$1,791,553

Income to expenses ratio in 2012: 1.4

Medical Plan Tr Fbo Athens Cty Schl Emplees Hlth & Wlfare Benefit Fund:	1.4
Other organizations performing similar types of work:	1.3

Financial snapshot ($)

Revenue for 2012

Functional expenses for 2012

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?	No
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
Gross income from members or shareholders	$0
Gross income from other sources	$0

Statement of Revenue (for 2012)
Total revenue	$9,578,816
Contributions, Gifts, Grants and Other Similar Amounts	$0
Program Service Revenue	$9,568,585
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$9,477
Income from investment of tax-exempt bond proceeds	$0
Royalties	$0
Net rental income	$0
Net gain from sales of assets other than inventory	$754
Gross amount from sales of assets other than inventory (Securities / Other)	$4,399,523 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$4,398,769 / $0
Gain or (loss) (Securities / Other)	$754 / $0
Net income from fundraising events	$0
Net income from gaming activities	$0
Net income from sales of inventory	$0
Miscellaneous Revenue	$0

Statement of Functional Expenses (for 2012)
Total functional expenses	$9,661,663
Compensation of current officers, directors, trustees, and key employees	$0
Other salaries and wages	$0
Payroll taxes	$0
Professional fundraising services	$525
Other	$9,661,138

Balance Sheet (for 2012)
Total assets	$5,565,311
Total liabilities	$924,227
Tax-exempt bond liabilities	$0
Secured mortgages and notes payable to unrelated third parties	$0
Unsecured notes and loans payable to unrelated third parties	$0
Other	$924,227
Total net assets or fund balances	$4,641,084
Retained earnings, endowment, accumulated income, or other funds	$0

Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:	Not provided

	2002	2003	2004	2005	2006
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$9,101,581	$7,182,403	$8,025,128	$9,112,852	$9,491,387
Contributions, gifts, grants, and similar amounts received	$0	$0	$0	$0	$0
Contributions to donor advised funds					$0
Direct public support	$0	$0	$0	$0	$0
Indirect public support	$0	$0	$0	$0	$0
Government contributions (grants)	$0	$0	$0	$0	$0
Program service revenue including government fees and contracts	$5,410,491	$7,107,931	$7,959,542	$8,973,656	$9,220,749
Membership dues and assessments	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$73,392	$14,814	$8,063	$30,783	$80,613
Dividends and interest from securities	$0	$126,620	$109,122	$124,849	$171,063
Net rental income or (loss)	$0	$0	$0	$0	$0
Gross rents	$0	$0	$0	$0	$0
Less: rental expenses	$0	$0	$0	$0	$0
Other investment income	$0	$-33,864	$-31,743	$-15,524	$24,373
Gain or (loss) from sales of assets other than inventory	$3,617,698	$-33,098	$-19,856	$-912	$-5,411
Gross amount from sales of assets other than inventory	$3,617,698	$6,820,000	$2,200,000	$475,000	$1,748,918
Less: cost or other basis and sales expenses	$0	$6,853,098	$2,219,856	$475,912	$1,754,329
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0
Gross revenue	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0
Total expenses	$6,102,937	$7,722,184	$7,902,819	$8,125,573	$9,425,664
Program services	$0	$0	$0	$0	$0
Management and general	$0	$0	$0	$0	$0
Fundraising	$0	$0	$0	$0	$0
Payments to affiliates	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$4,336,632	$3,796,851	$3,919,160	$4,906,439	$4,972,162
Excess or (deficit) for the year	$2,998,644	$-539,781	$122,309	$987,279	$65,723
Net assets or fund balances at beginning of year	$1,337,988	$4,336,632	$3,796,851	$3,919,160	$4,906,439
Other changes in net assets or fund balances	$0	$0	$0	$0	$0

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2006)
Total functional expenses	$9,425,664	$0	$0	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$0
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$0	$0	$0	$0
Pension plan contributions not included above	$0	$0	$0	$0
Employee benefits not included above	$0	$0	$0	$0
Payroll taxes	$0	$0	$0	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$0	$0	$0	$0
Legal fees	$700	$0	$0	$0
Supplies	$0	$0	$0	$0
Telephone	$0	$0	$0	$0
Postage and shipping	$0	$0	$0	$0
Occupancy	$0	$0	$0	$0
Equipment rental and maintenance	$0	$0	$0	$0
Printing and publications	$1,137	$0	$0	$0
Travel	$0	$0	$0	$0
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$0	$0	$0	$0
Depreciation, depletion, etc.	$0	$0	$0	$0
Other expenses not covered above	$9,423,827	$0	$0	$0

	2002	2003	2004	2005	2006
Balance Sheets
Total assets	$5,382,585	$5,151,371	$5,296,089	$5,912,349	$5,958,200
Cash - non-interest-bearing	$0	$0	$0	$0	$0
Savings and temporary cash investments	$5,334,782	$1,127,282	$1,296,246	$1,625,742	$2,305,987
Accounts receivable less allowance for doubtful accounts	$47,803	$22,955	$318,211	$113,678	$162,265
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)					$0
Other notes and loans receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0
Inventories for sale or use	$0	$0	$0	$0	$0
Prepaid expenses and deferred charges	$0	$0	$0	$0	$0
Investments - publicly-traded securities					$3,489,948
Investments - other securities	$0	$4,001,134	$3,681,632	$4,172,929	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0
Investments - other	$0	$0	$0	$0	$0
Land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0
Other assets, including program-related investments	$0	$0	$0	$0	$0
Total liabilities	$1,045,953	$1,354,520	$1,376,929	$1,005,910	$986,038
Accounts payable and accrued expenses	$184,459	$1,354,520	$1,376,929	$1,005,910	$986,038
Grants payable	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$0	$0	$0	$0
Mortgages and other notes payable	$0	$0	$0	$0	$0
Other liabilities	$861,494	$0	$0	$0	$0
Total liabilities and net assets/fund balances	$5,382,585	$5,151,371	$5,296,089	$5,912,349	$5,958,200
Total net assets or fund balances	$4,336,632	$3,796,851	$3,919,160	$4,906,439	$4,972,162

	2002	2003	2004	2005	2006
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$0	$0	$0	$0	$0
Total revenue, gains, and other support per audited financial statements	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0

	2002	2003	2004	2005	2006
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$0	$0	$0	$0	$0
Total expenses and losses per audited financial statements	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0

Current Officers, Directors, Trustees, and Key Employees

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	7
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	No
Does the organization have a written conflict of interest policy?	No

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	No
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	No
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	0

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2006)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$0		$0	$9,491,387
Program service revenue
Program service revenue 1	000000	$0	00	$0	$9,220,749
Program service revenue 2	000000	$0	00	$0	$0
Program service revenue 3	000000	$0	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$0
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	00	$0	$80,613
Dividends and interest from securities	000000	$0	00	$0	$171,063
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$24,373
Gain or (loss) from sales of assets other than inventory	000000	$0	00	$0	$-5,411
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	000000	$0	00	$0	$0

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2006)
	0%	$0	$0
	0%	$0	$0
	0%	$0	$0
	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2006)
$0	$0	$0
$0	$0	$0
$0	$0	$0
$0	$0	$0
$0	$0	$0

Total number of other employees paid over $50,000	0

Total number of other employees paid over $50,000

Statements About Activities (for 2006)
Expenses paid or incurred in connection with the lobbying activities	$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is

	2001	2002	2003	2004	2005
Support Schedule
Total	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2006)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Government Employees Health Association Inc	PO BOX 1096, Independence, MO 64051-0596	MO	1947-12	$3,272,129,753
2	Pennsylvania Employees Benefit, Attn Financial Manager	150 S 43rd St Ste 1, Harrisburg, PA 17111-5700	PA	1989-10	$1,336,228,386
3	Michigan Education Special Services Association	1475 Kendale Blvd, East Lansing, MI 48823-2011	MI	1962-08	$1,100,390,573
4	American Postal Workers Union, Afl Cio Health Plan	799 Cromwell Park Dr Suite Kz, Glen Burnie, MD 21061-2577	MD	1975-01	$995,046,196
5	Californias Valued Trust	520 E Herndon Ave, Fresno, CA 93720-2907	CA	1988-03	$584,131,194
6	Southern California Schools Voluntary Employees Benefits Assoc	8885 Rio San Diego Dr Ste 300, San Diego, CA 92108-1627	CA	1993-09	$551,091,380
7	Wisconsin Education Association Insurance Trust	45 Nob Hill Rd, Madison, WI 53713-2195	WI	1971-03	$461,948,150
8	Wisconsin Counties Association Group Health Tr, Mark Oconnell Ttee	22 E Mifflin St Ste 900, Madison, WI 53703-4247	WI	1991-10	$452,577,102
9	United Federation Of Teachers Welfare Fund, Uft Welfare Fund	52 Broadway, New York, NY 10004-1603	NY	1966-03	$377,230,599
10	Board Of Education Of Montgomery County Employee Benefit Trust Fund	45 W Gude Dr Ste 3200, Rockville, MD 20850-1480	MD	1964-08	$347,392,620
11	Butler Health Plan	400 N Erie Hwy Ste B, Hamilton, OH 45011-4264	OH	1988-02	$48,129,923
12	Champaign Delaware Marion Union Schools Employee Welfare Benefit	5200 Upper Metro Pl, Dublin, OH 43017-5377	OH	1990-01	$24,773,076
13	Allen County Schools Benefit Plan	1920 Slabtown Rd, Lima, OH 45801-3309	OH	1988-03	$20,745,115
14	Huron-Erie School Employee Insurance Association	134 Benedict Ave, Norwalk, OH 44857-2349	OH	1983-03	$18,889,675
15	The Ohio Association Of County Boards Of Dd Health Care Plan & Tr	73 E Wilson Bridge Rd Ste B6, Worthington, OH 43085-2359	OH	2003-06	$15,743,963
16	Ohio Associated School Insurance System Oasis Trust Co J W Didion &	5200 Upper Metro Pl Ste 300, Dublin, OH 43017-5378	OH	1978-01	$14,781,125
17	Medical Plan Tr Fbo Athens Cty Schl Emplees Hlth & Wlfare Benefit Fund	21 Birge Dr, Chauncey, OH 45719-1100	OH	1994-12	$13,977,585
18	Government Employees Association Inc	6110 Parkland Blvd, Cleveland, OH 44124-4187	OH	1999-04	$2,629,137
19	Snohomish County Pud Voluntary Employees Beneficiary Association	PO BOX 1107, Everett, WA 98206-1107	WA	2001-09	$19,913,032
20	City Of Irving Texas Voluntary Employees Beneficiary Assc Trust	5323 Spring Valley Rd Ste 300, Dallas, TX 75254-2416	TX	2000-03	$0

Number of organizations performing similar types of work

Alaska	1
Arkansas	1
Arizona	1
California	35
Colorado	2
Connecticut	1
District of Columbia	3
Delaware	1
Florida	7
Hawaii	2
Illinois	4
Indiana	2
Kansas	8
Massachusetts	8
Maryland	5
Maine	5
Michigan	2
Minnesota	23
Missouri	5

Mississippi	1
Montana	1
North Carolina	2
North Dakota	2
Nebraska	1
New Hampshire	2
New Jersey	23
Nevada	5
New York	36
Ohio	8
Oregon	4
Pennsylvania	26
Rhode Island	2
Texas	6
Utah	1
Virginia	4
Washington	6
Wisconsin	7
Wyoming	1

Total

254

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